article · medRxiv
Understanding host susceptibility to <i>Mycobacterium tuberculosis</i> ( <i>Mtb)</i> is critical for the development of new vaccines. Certain individuals "resist" becoming infected with <i>Mtb</i> despite intensive exposure; however, it is unknown whether there is a genetic basis for "resistance" to <i>Mtb</i> infection across populations. Here we conducted a genome-wide association study (GWAS) of resistance to <i>Mtb</i> infection by carefully characterizing exposure to TB patients among 4,058 close contacts in India, Brazil, and South Africa. 476 (12%) "resisters" remained free of <i>Mtb</i> infection despite substantial exposure to highly infectious TB patients. GWAS identified a novel chromosome 13 locus (rs1295104126) associated with resistance across the multi-ancestry meta-analysis. Comparing <i>Mtb</i> -infection to all uninfected contacts, irrespective of exposure, yielded a different locus on chromosome 6 (rs28752534), near the HLA-II region. These findings demonstrate a common genetic basis for resistance to <i>Mtb</i> infection across multi-ancestral cohorts with potential to elucidate novel mechanisms of protection from <i>Mtb</i> infection.
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DOI: 10.64898/2026.03.06.26347614
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