Article
The Synergistic Armory: A Global Genome-Wide Association Study Reveals the Integrated Mechanisms of Azithromycin Resistance in Neisseria gonorrhoeae.
International journal of molecular sciences - 27 Feb 2026
Shaskolskiy Boris, Tutaev Konstantin, Kravtsov Dmitry, Kandinov Ilya, Gryadunov Dmitry
Abstract excerpt
Azithromycin remains an important agent in gonorrhea treatment, yet resistance is a growing global threat. To comprehensively define its genetic basis, we performed a large-scale genome-wide association study of 14,727 Neisseria gonorrhoeae genomes with linked azithromycin MICs from 66 countries. We identified 113 genetic variants significantly associated with elevated MICs. Beyond well-known mutations in 23S...
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