Population Genomics and Inference of Mycobacterium avium Complex Clusters in Cystic Fibrosis Care Centers, United States
Nabeeh A. Hasan
1 , Rebecca M. Davidson
1, L. Elaine Epperson, Sara M. Kammlade, Sean Beagle, Adrah R. Levin, Vinicius Calado de Moura, Joshua J. Hunkins, Natalia Weakly, Scott D. Sagel, Stacey L. Martiniano, Max Salfinger, Charles L. Daley, Jerry A. Nick, and Michael Strong
Author affiliations: National Jewish Health, Denver, Colorado, USA (N.A. Hasan, R.M. Davidson, L.E. Epperson, S.M. Kammlade, S. Beagle, A.R. Levin, V. Calado de Moura, J.J. Hunkins, N. Weakly, C.L. Daley, J.A. Nick, M. Strong); University of Colorado Anschutz Medical Campus and Children’s Hospital Colorado, Aurora, Colorado, USA (S.D. Sagel, S.L. Martiniano); University of South Florida College of Public Health and Morsani College of Medicine, Tampa, Florida, USA (M. Salfinger)
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Figure 6
Figure 6. Genetic clusters of Mycobacterium avium, M. intracellulare subspecies chimaera, and M. intracellulare subsp. intracellulare in persons with CF in a study of Mycobacterium avium complex clusters in cystic fibrosis centers, United States. Three clusters of M. avium, 5 clusters of M. intracellulare subsp. chimaera, and 10 clusters of M. intracellulare subsp. intracellulare were identified. Each node represents a patient with >1 isolate having significant genetic similarity to an isolate in >1 patient. The color of each node represents the state of the submitting CF care center. Each edge represents genetic similarity between the isolates. Connecting edges are colored by matches within a center (red) or between different centers (dashed gray), and edge thickness is weighted from 0 SNPs (thickest) to 20 SNPs (thinnest) and the exact number of SNPs specified. Nodes with multiple connecting edges represent multiple isolates matching between patients. CF, cystic fibrosis; SNP, single-nucleotide polymorphism.
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