Search bioRxiv⌕ Search

Biology subjects

Wang, Y.-X.

Publications and source records attributed to Wang, Y.-X..

At least 19 recordsLinked to original sources

History-structured forecasting of rewarded give-up behavior in a rodent metacognition task

Longitudinal animal experiments generate behavior that is individual, history-dependent, and sometimes affected by ordinary procedural irregularities, yet analyses commonly reduce such records to pooled averages or synchronous trial-level explanations. We introduce history-structured forecasting as an auditable framework for determining whether an animals own preceding behavior carries predictive information beyond current-trial context. We applied the framework to 213,990 events from rats performing an auditory duration-discrimination task, using leakage-safe chronological forward-chaining, explicit trivial baselines, and controls that reset, exchange, or disrupt behavioral history. A transparent gradient-boosted model achieved 51.7% four-class accuracy, exceeding last-action persistence (40.9%) and prefix-derived subject-modal prediction (37.2%); decline-class AUPRC was 0.525 against a prevalence baseline of 0.303. Validation showed that the predictive advantage depended predominantly on each animals short-range sequential action history rather than group-level history, subject identity alone, or reward/correctness features, and strengthened on genuine choice trials. Forecasting remained informative across all 23 labeled animals, including six with recoverable records affected by incorrect training programming. These results revise the interpretation of rewarded give-up behavior while demonstrating how recoverable irregular records can be retained in transparent robustness analyses. History-structured forecasting offers a reusable open-science strategy for extracting reproducible evidence from imperfect longitudinal animal records without creating an artificially clean cohort.

animal behavior and cognition↗

METTL14-dependent m6A modification restrains interferon signaling to prevent myocarditis and dilated Cardiomyopathy

The impact of inflammation on heart failure is increasingly recognized; but how cardiomyocyte restrains innate immune activation remains poorly defined, and nor does the role of N-methyladenosine (mA) modification in maintaining cardiac immune homeostasis. Here, we demonstrate that cardiomyocyte-specific deletion of the mA methyltransferase METTL14 triggers myocarditis, dilated cardiomyopathy, and premature lethality. Meanwhile, widespread hypomethylation and upregulation of innate immune and necroptosis-related transcripts in Mettl14-deficient hearts exemplified by IFN-1 and STAT1. Mechanistically, METTL14 deficiency promotes RIPK1 accumulation thereby priming cardiomyocytes for necroptosis and inflammatory cell death. Genetic ablation of IFN-I receptor Ifnar1 can largely rescue the processes and improve cardiac function and survival. Furthermore, METTL14 loss disrupts mitochondrial integrity and autophagy/mitophagy flux, suggesting mitochondrial dysfunction-driven innate immune activation upstream of IFN-I signaling. Collectively, these findings identify METTL14-mediated mA modification as a critical safeguard against cardiomyocyte-intrinsic IFN-I signaling and necroptosis and establish an epitranscriptomic-innate immune axis that drives inflammatory heart failure.

pathology↗

Increased diffusion in livers with advanced fibrosis: pre-clinical and clinical observations with diffusion MRI

Despite the increased water content in fibrotic livers, numerous studies reported a decrease in ADC (apparent diffusion coefficient) in liver fibrosis. We argue that the ADC decrease in fibrotic livers is due to the T2 shine-through of ADC, as the longer T2 in liver fibrosis leads to less signal decay between the low and high b-value images. The metric slow diffusion coefficient (SDC) was proposed to mitigate the difficulties associated with this T2 shine-through of ADC. This study calculated ADC and SDC of one rat study with liver fibrosis induced by biliary duct ligation (BDL), and three sets of human liver fibrosis data. To tease out the menopausal effect on SDC, only the results of mens livers were analysed for the human datasets. The rat study showed, liver ADC decreased stepwise (in weeks after BDL procedure) following fibrosis induction, SDC increased stepwise. In human studies, all three datasets consistently showed advanced fibrosis had an ADC lower than that of earlier stage fibrosis; advanced fibrosis had a SDC higher than that of earlier stage fibrosis. When each liver SDC datum was normalized by the mean value of the controls without fibrosis, and the three human datasets were summed together, stage-1 liver fibrosis had a normalized SDC value lower than that of the controls, and there was a stepwise increase of SDC value from stage-1 liver fibrosis to stage-4 liver fibrosis. It is known that liver fibrosis is associated with lower perfusion, higher iron/susceptibility, and higher water content, and these three factors all contribute to the lower ADC measure. Higher iron/susceptibility lowers SDC measure, whereas higher water content elevates SDC measure. It is likely that for early-stage fibrosis, the net effect of susceptibility and water leads to a lower SDC, while for advanced fibrosis, the net effect leads to a higher SDC.

biophysics↗

Intrinsically Disordered Protein Coating for Oral Delivery of Peptide Drugs

AbstractAdvancing oral delivery of peptide therapeutics requires innovative materials that overcome gastrointestinal barriers. We introduce the first engineered synthetic intrinsically disordered protein (SynIDP) that self-assembles into an enteric coating, encapsulating peptide drugs to enhance gastric acid resistance and intestinal targeting. This SynIDP recapitulates the molecular design principles and phase transitions of native IDPs to exhibit temperature-controlled condensation and pH-controlled solidification--both transitions being reversible and precisely tuned to intestinal cues. Through detailed analysis of the kinetics of the liquid-to-solid phase transition, we achieve control over the nano-to-microscale morphology of the protein coating, optimizing drug encapsulation and protection. The coating protects peptide-based weight loss drugs for over 60 minutes in simulated gastric conditions, then dissolves to release the active compound. Oral delivery to obese mice results in more consistent weight loss compared to the unencapsulated drug. This modular protein-based coating is a promising platform technology for enhancing oral peptide drug delivery and improving patient compliance.

bioengineering↗

Schistosoma japonicum Histone Acetyltransferase 1 (SjHAT1): A Novel Anti-schistosomal Drug Target

Schistosomiasis remains a critical global health issue, necessitating novel therapies due to emerging praziquantel resistance. We previously developed a patented praziquantel derivative, DW-3-15, which demonstrated potent broad-spectrum schistosomicidal activity through SjHAT1 inhibition. Here, the full-length SjHAT1 cDNA is cloned by rapid amplification of cDNA ends methods. The amino acids encoded by the cDNA retains conserved catalytic residues of acetyltransferases although sharing only 34% identity with mammalian orthologs. Phylogenetic analyses place it in a distinct clade, indicating its divergence specific to Schistosoma species. The expression profiling of SjHAT1 reveals stage- and sex-specific patterns. Fluorescence in situ hybridization localizes SjHAT1 predominantly in female vitellaria and male parenchyma near the gynecophoral canal. Knockdown of SjHAT1 impairs worm survival, reduces female oviposition and disrupts ovarian and vitelline morphology both in vitro and in vivo. RNA-sequencing analysis reveals that SjHAT1 knockdown disrupts {beta}-alanyl-tryptamine pheromone signaling via downregulation of aromatic L-amino acid decarboxylase in males and multidrug resistance-associated protein 4 in females. Through exploring this dual-sex regulatory mechanisms, SjHAT1 may emerge as a promising therapeutic target for interrupting schistosomiasis transmission.

microbiology↗

A brown fat-enriched adipokine, ASRA, is a leptin receptor antagonist that stimulates appetite

The endocrine control of food intake remains incompletely understood, and whether the leptin receptor (LepR)-mediated anorexigenic pathway in the hypothalamus is negatively regulated by a humoral factor is unknown. Here, we identify an appetite-stimulating factor - ASRA - that represents a peripheral signal of energy deficit and orthosterically antagonizes LepR signaling. Asra encodes an 8 kD protein that is abundantly and selectively expressed in adipose tissue and to a lesser extent, in liver. ASRA associates with autophagy vesicles and its secretion is enhanced by energy deficiency. In vivo, fasting and cold stimulate Asra expression and increase its protein concentration in cerebrospinal fluid. Asra overexpression attenuates LepR signaling, leading to elevated blood glucose and development of severe hyperphagic obesity. Conversely, either adipose- or liver-specific Asra knockout mice display increased leptin sensitivity, improved glucose homeostasis, reduced food intake, resistance to high-fat diet-induced obesity, and blunted cold-evoked feeding response. Mechanistically, ASRA acts as a high affinity antagonist of LepR. AlphaFold2-multimer prediction and mutational studies suggest that a core segment of ASRA binds to the immunoglobin-like domain of LepR, similar to the site 3 recognition of the A-B loop of leptin. While administration of recombinant wild-type ASRA protein promotes food intake and increases blood glucose in a LepR signaling-dependent manner, point mutation within ASRA that disrupts LepR-binding results in a loss of these effects. Our studies reveal a previously unknown endocrine mechanism in appetite regulation and have important implications for our understanding of leptin resistance.

molecular biology↗

An Empirical Study on the Motivation of Helping Behavior in Rats

Using rodent models to explore the motivation of helping behaviors has become a new trend in recent years. Empathy, the alleviation of personal distress, and desire for social contact have been considered motivations for rodents to engage in helping behaviors. We used 108 Sprague-Dawley rats as subjects and modified the two-chambered helping behavior experimental setup in Carvalheiro and colleagues study to explore the main motivations of helping behavior in rodents through three experiments. The findings suggest that (1) the desire for social contact and pursuit of an interesting environment are the primary motivations for helping behavior, regardless of the presence of a dark chamber, and (2) the alleviation of personal distress and prior experience of social contact rather than distress experience contribute to the onset and persistence of helping behavior.

animal behavior and cognition↗

Soft and stretchable organic bioelectronics for continuous intra-operative neurophysiological monitoring during microsurgery

Continuous intra-operative neurophysiological monitoring (CINM) that provides precise mapping of neural anatomy through the entire microsurgery process is essential to preserve the structural and functional integrity of the nerve. However, bulky and rigid electrodes used currently in clinics are usually unable to reliably maintain continuous and stable contacts with the vulnerable and complex nerve networks, thus often resulting in detrimental post-operative complications, such as hemiplegia and sensory disturbances. Here, we describe a biomechanically compatible, suture-free, and individually reconfigurable CINM based on soft and stretchable organic electronic materials. Due to both low impedance and modulus of our conducting polymer electrodes, we achieved for the first time continuous recording of near-field action potential with high signal-to-noise ratio and minimal invasiveness during microsurgeries. Utilizing this unprecedented CINM modality, in conjunction with localized neurostimulation, we further demonstrated our approach in enabling optimal post-operative prognosis in preclinical animal models by preserving normal neural functions after a variety of tumor resection surgeries.

bioengineering↗

A novel batokine Breg controls adipose thermogenesis and glucose homeostasis

Batokines selectively expressed in brown and beige adipocytes remain to be identified and their potential signaling role in adipose thermogenesis are largely unknown. Here we identified a batokine we named as Breg acting as a key regulator for adipose thermogenesis and glucose homeostasis. Breg expression is adipose-specific and highly brown fat-enriched, and its secretion is stimulated by {beta}3-adrenergic activation. Gain-of-functional studies collectively showed that secreted Breg promotes adipose thermogenesis, lowers glucose level, and protects against obesity. Adipose-specific Breg knockout mice are defective in white fat browning, and are susceptible to high fat diet-induced obesity and hyperglycemia, demonstrating the physiological importance of this batokine in energy metabolism. Mechanistically, Breg binds to a putative receptor on adipocyte surface and activates protein kinase A independently of {beta}-adrenergic signaling. These results establish Breg as a major upstream signaling component in thermogenesis and offer a potential avenue for the treatment of obesity and diabetes.

cell biology↗

NudC regulated Lis1 stability is essential for maintenance of dynamic microtubule ends in the axon terminal

Axon terminal structure is critical for neuronal function. This cellular compartment houses synaptic terminals and is a site of high metabolic and functional demand. Axon terminals are also the site of a change in microtubule structure within the neuron. Microtubule stability is decreased relative to the axon shaft due to an enrichment of microtubule plus ends and increase in microtubule dynamics. These dynamic microtubule plus ends have many functions including serving as a docking site for the microtubule motor protein complex Cytoplasmic dynein. Here, we report an unexplored function of the dynein motor in axon terminals: regulation of microtubule stability. Using a forward genetic screen, we identified a mutant with abnormal axon terminal structure due to a loss of function mutation in the dynein interacting protein NudC. We show that the primary function of NudC in the axon terminal is as a chaperone for the protein Lis1. Loss of NudC results in decreased Lis1 protein in this neuronal compartment. Decreased Lis1 in nudc mutants causes dynein/dynactin accumulation and increased microtubule stability in axon terminals. Microtubules in the proximal axon are unaffected. Abnormal microtubule stability and structure can be suppressed by pharmacologically inhibiting dynein, implicating excess dynein motor activity as causal in the enhanced axon terminal microtubule stability. Together, our data support a model in which local NudC-Lis1 modulation of dynein motor activity is critical for regulation of microtubule stability in the axon terminal.

neuroscience↗

Topological supramolecular network enabled highly conductive and stretchable organic bioelectronics

Intrinsically stretchable bioelectronic devices based on soft and conducting organic materials have been regarded as the ideal interface for seamless and biocompatible integration with the human body. However, the grand challenge remains for the conducting polymer to possess both high mechanical ductility and good electrical conduction at cellular level feature sizes. This longstanding material limitation in organic bioelectronics has impeded the full exploitation of its unique benefits. Here, we introduce a new molecular engineering strategy based on rationally designed topological supramolecular networks, which allows effective decoupling of competing effects from multiple molecular building blocks to meet complex requirements. We achieve two orders of magnitude improvement in the conductivity under 100% strain in physiological environment, along with the capability for direct photopatterning down to 2 m. These unprecedented capabilities allow us to realize previously inaccessible bioelectronic applications including high-resolution monitoring of soft and malleable creatures, e.g., octopus, and localized neuromodulation down to single nucleus precision for controlling organ-specific activities through delicate tissues, e.g., brainstem.

bioengineering↗

Different issue types have different signal intensity on b=0 images and its implication on intravoxel incoherent motion (IVIM) analysis: examples of liver MRI

Intravoxel incoherent motion (IVIM) theory in MRI was proposed to account for the effect of vessel/capillary perfusion on the aggregate diffusion weighted MR signal. The prevalent IVIM modeling is based on equation-1: SI(b)/SI(0) = (1 -PF) x exp(-b x Dslow) + PF x exp(-b x Dfast) [1] where SI(b) and SI(0) denote the signal intensity of images acquired with the b-factor value of b and b=0 s/mm2, respectively. We recently reported that, for the liver and likely for other organs as well, IVIM modeling of the perfusion component is constrained by the diffusion component, with a reduced Dslow measure leading to artificially higher PF and Dfast measures. With higher b-value associated lower image signal of the targeted tissue, Euqation-1 is focused on describing the signal decay pattern along increasingly higher b-values by three IVIM parameters. Signal intensity at each b-value (i.e., SI(b)) is normalised by the signal intensity of b=0 image (i.e., SI(0)). We noted an apparent problem for Euqation-1. For example, if we want to compare the IVIM parameters of the normal liver parenchyma and a liver tumor, following Euqation-1 we will take the assumption that the SI(0) of the normal parenchyma and the tumor are the same and considered equally as 1 (or 100) for the biexponential decay modelling. However, this assumption is invalid for many scenarios. From our liver IVIM database of 27 healthy female subjects, we chose six of the youngest subjects (20-27 yrs) and six of the oldest subjects (58-71 yrs) and measured the signals of the liver and left erector spinae muscle on b=0 and 2 s/mm2 images. The results show, while there was no apparent difference of left erector spinae muscle signal among the young and elderly groups, the elderly groups liver SI(0) is approximately 20 % lower than that of young group. This difference skewed the ratios of various SI(b)/SI(0) and the followed IVIM parameter determination. The general trend is that lower liver SI(0) is associated with lower Dslow and higher PF and Dfast. If IVIM bi-exponential decay fitting starts from a very low non-zero b images (such as b=2 s/mm2 images), this problem persists. We performed an additional analysis of our IVIM database of five cirrhotic livers and the results show SI(b=2) of cirrhotic right liver is positively associated Dslow (Pearson r=0.687), and negatively associated with PF (Pearson r=-0.733). Though the examples we used in this letter are on liver aging and liver fibrosis, the points discussed are expected to be generalisable to other pathologies and to other organs.

biophysics↗

Age and gender dependence of liver diffusion parameters and the evidence of intravoxel incoherent motion modelling of perfusion component is constrained by diffusion component.

ObjectivesTo establish reference values for middle aged subjects and investigate age and gender dependence of liver diffusion MRI parameters. MethodsThe IVIM type of liver diffusion scan was based on a single-shot spin-echo type echo-planar sequence using a 1.5-T magnet with 16 b-values. DDVD (diffusion-derived vessel density) was the signal difference between b=0 and b=2 s/mm2 images after removing visible vessels. IVIM analysis was performed with full-fitting and segmented-fitting, and with threshold b-value of 60 or 200 s/mm2, and fitting started from b=2 s/mm2. 32 men (age range: 25-71 years) and 26 men (age: 22-69 years) had DDVD and IVIM analysis respectively, while 36 women (age: 20-71 years) had DDVD and IVIM analysis. ResultsDDVD had an age-related reduction noted for women. IVIM results of full fitting had good agreement with segmented fitting with threshold b of 60 s/mm2 results, but less so with results of threshold b of 200 s/mm2. As age increases, female subjects Dslow measure had significant reduction, and PF and Dfast measure had significant increase. For the age group of 40-55 years, DDVD, Dslow, PF, and Dfast were 12.27{+/-}3.90, 1.072{+/-}0.067 (10-3mm2/s), 0.141{+/-}0.025, 61.0{+/-}14.0 (10-3mm2/s), and 13.4{+/-}3.6, 1.069{+/-}0.074 mm2/s, 0.119{+/-}0.014, 57.1{+/-}13.2 mm2/s, for men and women, respectively. ConclusionDDVD measure suggest that aging may be associated with reduction in liver perfusion. Lower Dslow measurement can lead to artificial higher PF and Dfast measurement, providing the evidence of IVIM modeling of perfusion component is constrained by diffusion component.

biophysics↗

Paradoxical relationships between active transport and global protein distributions in neurons

Neural function depends on continual synthesis and targeted trafficking of intracellular components, including ion channel proteins. The detailed biophysics active ion channel transport are increasingly well understood, along with the steady-state distribution of functional channels in the membrane. However we lack a quantitative understanding of how transport mechanisms give rise to stable expression patterns, and how live measurements of active transport relate to static estimates of channel density in neurites. We experimentally measured neuronal transport and expression densities of Kv4.2, a voltage-gated transient potassium channel. Kv4.2 is known to have a highly specific dendritic expression and little or no reported functional expression in axons. Surprisingly, in over 500 hours of quantitative live imaging, we found substantially higher microtubule-based transport of Kv4.2 subunits in axons compared to dendrites. We show that this paradoxical result is expected using a mass action trafficking model of intracellular transport that we calibrate to experimental measurements. Furthermore, we find qualitative differences in axonal and dendritic active transport that are captured in a stochastic model of puncta transport. This reveals that active transport is tuned to efficiently move cargo through axons while promoting mixing in dendrites. Finally, our data reveals trends in transport parameters that can explain the functional density profile of Kv4.2. Puncta velocity bias is directed distally and the magnitude of this bias increases with distance from the soma. These trends are consistent with an analytical solution of a linear transport PDE, corroborating previously unexplained distributions of Kv4.2 subunit localization and A-type current density. Together, our results provide new quantitative data on ion channel trafficking and reveal counterintuitive but mathematically consistent relationships between the distribution of cargo that is in transit and its functional expression. SIGNIFICANCEThis study of ion channel transport reveals a seemingly counterintuitive result: the majority of subunit transport occurs in axons for a cargo whose static distribution is concentrated in dendrites. This disparity is reconciled by a simple mathematical model of transport, which reveals that the local density of actively transported intracellular cargo can show an inverse relationship with its static expression density. Mass action models also reconcile the previously unexplained, highly asymmetric, increasing distribution of Kv4.2 with its measured trafficking density that resembles diffusion with minimal drift. The generality of our analysis prompts caution in how static snapshots of intracellular cargo distributions should be interpreted for any type of intracellular cargo.

neuroscience↗

Voltage-gated Ca2+ and K+ channel coupling regulates CA1 hippocampal synaptic filtering and spine excitability

The transient K+ current (IA) carried by pore forming Kv4.2 subunits regulates the propagation of synaptic input, dendritic excitability, and synaptic plasticity in CA1 pyramidal neuron dendrites of the hippocampus. We report that the Ca2+ channel subunit Cav2.3 regulates IA in this cell type. We first identified Cav2.3 as a Kv4.2 interacting protein in a proteomic screen and we confirmed Cav2.3-Kv4.2 complex association using multiple techniques. Functionally, Cav2.3 Ca2+-entry increases Kv4.2-mediated whole-cell current due to an increase in Kv4.2 surface expression. Using pharmacology and Cav2.3 knockout mice, Cav2.3 was found to promote whole-cell IA and the increasing gradient of IA in the apical dendrite distal to the neuronal soma. Furthermore, the loss of Cav2.3 function leads to enhancement of synaptic currents and spine Ca2+ influx. These results present Cav2.3 and Kv4.2 as integral constituents of an ion channel complex that impacts synaptic function in the hippocampus.

neuroscience↗

Myosin 18Aα targets guanine nucleotide exchange factor β-Pix to dendritic spines of cerebellar Purkinje neurons to promote spine maturation

Dendritic spines are signaling microcompartments that serve as the primary site of synapse formation in neurons. Actin assembly and myosin 2 contractility play major roles in the maturation of spines from filopodial precursors, as well as in the subsequent, activity-dependent changes in spine morphology that underly learning and memory. Myosin 18A is a myosin 2-like protein conserved from flies to man that lacks motor activity, is sub-stochiometric to myosin 2, and co-assembles with myosin 2 to make mixed filaments. Myosin 18A is alternatively spliced to create multiple isoforms that contain unique N- and C-terminal extensions harboring both recognizable and uncharacterized protein: protein interaction domains. These observations suggest that myosin 18A serves to recruit proteins to mixed filaments of myosin 2 and myosin 18A. One protein known to bind to myosin 18A is {beta}-Pix, a guanine nucleotide exchange factor (GEF) for Rac1 and Cdc42. Notably, {beta}-Pix has been shown to promote spine maturation by activating both Arp2/3 complex-dependent branched actin filament assembly and myosin 2 contractility within spines. Here we show that myosin 18A is expressed in cerebellar Purkinje neurons and concentrates in spines along with myosin 2 and F-actin. Myosin 18A is targeted to spines by co-assembling with myosin 2 and by an actin binding site present in its N-terminal extension. miRNA-mediated knockdown of myosin 18A results in a significant defect in spine maturation that is rescued by an RNAi-immune version of myosin 18A. Importantly, {beta}-Pix co-localizes with myosin 18A in spines, and its spine localization is lost upon myosin 18A knockdown or when its myosin 18A binding site is deleted. Finally, we show that the spines of myosin 18A knockdown Purkinje neurons contain significantly less F-actin and myosin 2. Together, these data demonstrate that mixed filaments of myosin 2 and myosin 18A form a complex with {beta}-Pix in Purkinje neuron spines that promotes spine maturation by enhancing the assembly of actin and myosin filaments downstream of {beta}-Pixs GEF activity.

neuroscience↗

Fast and accurate assembly of Nanopore reads via progressive error correction and adaptive read selection

Although long Nanopore reads are advantageous in de novo genome assembly, applying Nanopore reads in genomic studies is still hindered by their complex errors. Here, we developed NECAT, an error correction and de novo assembly tool designed to overcome complex errors in Nanopore reads. We proposed an adaptive read selection and two-step progressive method to quickly correct Nanopore reads to high accuracy. We introduced a two-stage assembler to utilize the full length of Nanopore reads. NECAT achieves superior performance in both error correction and de novo assembly of Nanopore reads. NECAT requires only 7,225 CPU hours to assemble a 35X coverage human genome and achieves a 2.28-fold improvement in NG50. Furthermore, our assembly of the human WERI cell line showed an NG50 of 29 Mbp. The high-quality assembly of Nanopore reads can significantly reduce false positives in structure variation detection.

bioinformatics↗

Prediction of multiple drug resistant pulmonary tuberculosis against drug sensitive pulmonary tuberculosis by CT nodular consolidation sign

Multidrug-resistant tuberculosis (mdrtb) refers to TB infection resistant to at least two most powerful anti-TB drugs, isoniazid and rifampincin. It has been estimated that globally 3.5% (which can be much higher in some regions) of newly diagnosed TB patients, and 20.5% of previously treated patients had mdrtb. Extensively drug-resistant TB (xdrtb) has resistance to rifampin and isoniazid, as well as to any member of the quinolone family and at least one of the second line injectable drugs: kanamycin, amikacin and capreomycin. xdrtb accounts for 4-20% of mdrtb. Early detection and targeted treatment are priorities for mdrtb/xdrtb control. The suspicion of mdr/xdr -pulmonary TB (mdrptb or xdrptb) by chest imaging shall suggest intensive diagnostic testing for mdrptb/xdrptb. We hypothesize that multiple nodular consolidation (NC) may serve one of the differentiators for separating dsptb vs mdrptb/xdrptb cases. For this study, mdrptb cases (n=310) and XDR-PTB cases ([xcap]=I58) were from the NIAID TB Portals Program (TBPP) . Drug sensitive pulmonary TB (dsptb) cases were from the TBPP collection (n=112) as well as the Shenzhen Center for Chronic Disease Control (n=111), Shenzhen, China, and we excluded patients with HIV(+) status. Our study shows NC, particularly multiple NCs, is more common in mdrptb than in dsptb, and more common in xdrptb than in mdrptb. For example, 2.24% of dsptb patients, 13.23% of mdrptb patients, and 20.89% of xdrptb patients, respectively, have NCs with diameter >= 10mm equal or more than 2 in number.

pathology↗