Consolidation of a Genomic Epidemiological Surveillance Network for Tuberculosis (REVIGET) in Northern and Northeastern Brazil: A Study Protocol Article Swipe
Emilyn Costa Conceição
,
Karla Valéria Batista Lima
,
Cristiane Cunha Frota
,
Theolis Barbosa
,
Adriana Lúcia Pires Ferreira
,
Abhinav Sharma
,
Davi Josué Marcon
,
Layana Rufino Ribeiro
,
Alex Brito Souza
,
D. Santos
,
Carlos Augusto Abreu Albério
,
Ricardo José de Paula Souza e Guimarães
,
Ismari Perini Furlaneto
,
L De Freitas
,
Emmily Oliveira Amador
,
Hendor Neves Ribeiro de Jesus
,
Leonardo Bruno Paz Ferreira Barreto
,
Maria Cristina S. Lourenço
,
Túlio de Oliveira
,
Robin M. Warren
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1101/2025.05.29.25328602
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1101/2025.05.29.25328602
Globally, tuberculosis (TB) remains a top cause of death from infectious diseases, with an estimated 1.5 million deaths annually. Given its substantial social and economic burden, TB is a priority in the United Nations 2030 Agenda for Sustainable Development. The WHO’s End TB Strategy emphasises research, innovation, and the rapid implementation of new technologies such as whole genome sequencing (WGS), which are pivotal for precision health approaches and drug-resistant TB (DR-TB) surveillance. This study aims to strengthen genomic TB surveillance in the North and Northeast Brazilian regions by applying WGS to study DR-TB cases, training professionals in genomics and bioinformatics, and deploying a national surveillance platform (GEMIBRA). This is an observational, cross-sectional, prospective, quantitative and qualitative study to be conducted in the states of Pará, Amazonas, Ceará, and Bahia. A total of 500 Mycobacterium tuberculosis complex (MTBC) isolates from DR-TB cases will undergo WGS, representing 87% of the expected DR-TB cases, including cases of non-tuberculous mycobacteria (NTM) isolates among the DR samples. Data will be analyzed for genotype-phenotype correlations, mutation patterns, and associations with clinical and epidemiological characteristics. Capacity-building activities, including theoretical and hands-on bioinformatics training, will be carried out. The GEMIBRA platform will support data visualization, spatial distribution, and clinical decision-making. The project will generate evidence for validate the contribution of the integration of WGS into Brazil’s TB surveillance system, support precision treatment approaches, and inform public health interventions. It will also contribute to workforce development and the introduction of decentralized WGS-based diagnostics in resource-limited regions. The project adopts a translational research model and a networked, decentralised approach, facilitating the prompt integration of the knowledge generated into public health practice. Ultimately, this work will contribute to combating TB transmission by identifying transmission dynamics, emerging resistant strains, and informing the National Plan to End TB as a public health problem.
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- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.1101/2025.05.29.25328602
- https://www.medrxiv.org/content/medrxiv/early/2025/05/31/2025.05.29.25328602.full.pdf
- OA Status
- green
- References
- 17
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4410912907Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1101/2025.05.29.25328602Digital Object Identifier
- Title
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Consolidation of a Genomic Epidemiological Surveillance Network for Tuberculosis (REVIGET) in Northern and Northeastern Brazil: A Study ProtocolWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-05-31Full publication date if available
- Authors
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Emilyn Costa Conceição, Karla Valéria Batista Lima, Cristiane Cunha Frota, Theolis Barbosa, Adriana Lúcia Pires Ferreira, Abhinav Sharma, Davi Josué Marcon, Layana Rufino Ribeiro, Alex Brito Souza, D. Santos, Carlos Augusto Abreu Albério, Ricardo José de Paula Souza e Guimarães, Ismari Perini Furlaneto, L De Freitas, Emmily Oliveira Amador, Hendor Neves Ribeiro de Jesus, Leonardo Bruno Paz Ferreira Barreto, Maria Cristina S. Lourenço, Túlio de Oliveira, Robin M. WarrenList of authors in order
- Landing page
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https://doi.org/10.1101/2025.05.29.25328602Publisher landing page
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https://www.medrxiv.org/content/medrxiv/early/2025/05/31/2025.05.29.25328602.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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https://www.medrxiv.org/content/medrxiv/early/2025/05/31/2025.05.29.25328602.full.pdfDirect OA link when available
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Consolidation (business), Tuberculosis, Epidemiology, Epidemiological surveillance, Protocol (science), Geography, Medicine, Environmental health, Business, Pathology, Alternative medicine, AccountingTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| primary_location.landing_page_url | https://doi.org/10.1101/2025.05.29.25328602 |
| publication_date | 2025-05-31 |
| publication_year | 2025 |
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