Pulmonary non-tuberculous mycobacterial infection
diseaseOn this page
Also known as non-tuberculous mycobacterial lung diseaseNontuberculous Mycobacterial Lung Disease
Summary
Pulmonary non-tuberculous mycobacterial infection (MONDO:0018469) is a disease with 12 GWAS associations across 2 studies and 15 clinical trials. Top therapeutic interventions include azithromycin, ethambutol, and omadacycline. A subtype of lung disorder — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- Prevalence: 1-9 / 100 000 (Europe) [Orphanet-validated]
- GWAS associations: 12
- Phenotypes (HPO): 21
- Clinical trials: 15
Clinical features
Epidemiology
Prevalence records
1 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Point prevalence | 1-9 / 100 000 | 6 | Europe | Validated |
Signs & symptoms
Clinical features (HPO)
21 HPO clinical features (Orphanet curated; top 21 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0003565 | Elevated erythrocyte sedimentation rate | Very frequent (80-99%) |
| HP:0002110 | Bronchiectasis | Frequent (30-79%) |
| HP:0012735 | Cough | Frequent (30-79%) |
| HP:0025406 | Asthenia | Frequent (30-79%) |
| HP:0031457 | Pulmonary opacity | Frequent (30-79%) |
| HP:0032016 | Abnormal sputum | Frequent (30-79%) |
| HP:0001698 | Pericardial effusion | Occasional (5-29%) |
| HP:0001824 | Weight loss | Occasional (5-29%) |
| HP:0001945 | Fever | Occasional (5-29%) |
| HP:0002014 | Diarrhea | Occasional (5-29%) |
| HP:0002094 | Dyspnea | Occasional (5-29%) |
| HP:0002098 | Respiratory distress | Occasional (5-29%) |
| HP:0002105 | Hemoptysis | Occasional (5-29%) |
| HP:0002202 | Pleural effusion | Occasional (5-29%) |
| HP:0002716 | Lymphadenopathy | Occasional (5-29%) |
| HP:0006510 | Chronic pulmonary obstruction | Occasional (5-29%) |
| HP:0030830 | Crackles | Occasional (5-29%) |
| HP:0032130 | Mycobacterium abscessus abscessus infection | Occasional (5-29%) |
| HP:0032283 | Disseminated nontuberculous mycobacterial infection | Occasional (5-29%) |
| HP:0100749 | Chest pain | Occasional (5-29%) |
| HP:0002107 | Pneumothorax | Very rare (<1-4%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | pulmonary non-tuberculous mycobacterial infection |
| Mondo ID | MONDO:0018469 |
| Orphanet | 411703 |
| ICD-11 | 1798822437 |
| UMLS | C3472679 |
| MedGen | 758704 |
| GARD | 0012829 |
| NORD | 1887 |
| Is cancer (heuristic) | no |
Also known as: non-tuberculous mycobacterial lung disease · Nontuberculous Mycobacterial Lung Disease · nontuberculous mycobacterial lung disease
Data availability: 12 GWAS associations (2 studies).
Disease family
This is a subtype of lung disorder. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.
Classification path: disease › human disease › disease by body system or component › respiratory system disorder › lower respiratory tract disorder › lung disorder › pulmonary non-tuberculous mycobacterial infection
Related subtypes (32): aspiration pneumonia, lung abscess, pneumonic plague, pulmonary alveolar proteinosis, pulmonary systemic sclerosis, obstructive lung disease, bronchiolitis, pulmonary immaturity, rheumatoid arthritis-associated interstitial lung disease, pulmonary embolism and infarction, acute chest syndrome, fungal lung infectious disease, middle lobe syndrome, pulmonary coin lesion, pulmonary plasma cell granuloma, silo filler disease, pulmonary alveolar microlithiasis, pulmonary venoocclusive disease, acute lung injury, interstitial lung disease, hantavirus pulmonary syndrome, respiratory failure, lung neoplasm, occupational lung disease, Wilson-Mikity syndrome, neonatal aspiration syndrome, pneumonitis, vanishing lung syndrome, restrictive pulmonary disease, shrinking lung syndrome, dystrophic pulmonary ossification, pulmonary artery disease
Genetics & variants
GWAS landscape
12 GWAS associations across 2 studies. Top hits map to 5 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs194792 | 1e-16 | CHP2 - PRKCB | C | 1.7 |
| rs849177 | 5e-08 | COA1 - BLVRA | C | 1.29 |
| rs45593631 | 2e-06 | TRPM2 | T | |
| rs2699943 | 3e-06 | C3orf85 - LINC00488 | C | |
| rs9508036 | 4e-06 | FLT1 | G | |
| rs28709344 | 6e-06 | MIR1302-7 - DNAJC8P3 | G | |
| rs9428778 | 7e-06 | MIPEPP2 - CHRM3 | G | |
| rs7301800 | 8e-06 | NUAK1 | G | |
| rs9511572 | 8e-06 | RPL34P27 - LSP1P1 | C | |
| rs72693656 | 8e-06 | SNRPN | T | |
| rs77953657 | 1e-05 | CHP2 - PRKCB | C | |
| rs12487736 | 1e-05 | SCAP | C |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90728619 | Park K | 2025 | 1,949 | 2,955 | Novel Genetic Loci for Nontuberculous Mycobacterial Pulmonary Disease and Potential Protective Effect of Body Mass Index. |
| GCST010983 | Cho J | 2020 | 403 | 0 | Genome-wide association study of non-tuberculous mycobacterial pulmonary disease. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 1 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 11 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 12 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|---|
| intergenic_variant | 7 |
| intron_variant | 4 |
| missense_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs194792 | 16 | 23811027 | C>A,G,T | 0.23 | intergenic_variant | CHP2 - PRKCB | 1e-16 | Tier 4: intronic/intergenic |
| rs849177 | 7 | 43744189 | C>G,T | 0.37 | intergenic_variant | COA1 - BLVRA | 5e-08 | Tier 4: intronic/intergenic |
| rs45593631 | 21 | 44434857 | C>T | 0.25 | intron_variant | TRPM2 | 2e-06 | Tier 4: intronic/intergenic |
| rs2699943 | 3 | 109157067 | C>T | 0.06 | intergenic_variant | C3orf85 - LINC00488 | 3e-06 | Tier 4: intronic/intergenic |
| rs9508036 | 13 | 28441740 | A>G,T | 0.35 | intron_variant | FLT1 | 4e-06 | Tier 4: intronic/intergenic |
| rs28709344 | 8 | 141966427 | A>G,T | 0.38 | intergenic_variant | MIR1302-7 - DNAJC8P3 | 6e-06 | Tier 4: intronic/intergenic |
| rs9428778 | 1 | 238930372 | A>G | 0.07 | intergenic_variant | MIPEPP2 - CHRM3 | 7e-06 | Tier 4: intronic/intergenic |
| rs7301800 | 12 | 106087258 | G>A | 0.33 | intron_variant | NUAK1 | 8e-06 | Tier 4: intronic/intergenic |
| rs9511572 | 13 | 24990188 | C>G,T | 0.48 | intergenic_variant | RPL34P27 - LSP1P1 | 8e-06 | Tier 4: intronic/intergenic |
| rs72693656 | 15 | 24861407 | G>A,T | 0.48 | intron_variant | SNRPN | 8e-06 | Tier 4: intronic/intergenic |
| rs77953657 | 16 | 23814403 | C>T | 0.24 | intergenic_variant | CHP2 - PRKCB | 1e-05 | Tier 4: intronic/intergenic |
| rs12487736 | 3 | 47418189 | C>A,T | 0.49 | missense_variant | SCAP | 1e-05 | Tier 1: coding |
Genes & proteins
No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).
Function
No pathway enrichment — requires an associated-gene cohort.
Therapeutics
No druggable-target or therapeutic data for this disease’s cohort.
Clinical trials & evidence
Clinical trials
Clinical trials: 15.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 11 |
| PHASE4 | 3 |
| PHASE2 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04921943 | PHASE4 | RECRUITING | Hypertonic Saline for MAC |
| NCT05192057 | PHASE4 | RECRUITING | Hypertonic Saline Inhalation for Mycobacterium Avium Complex Pulmonary Disease |
| NCT05494957 | PHASE4 | UNKNOWN | Clinical Study of New Intensive Treatment Regimen for Severe Nontuberculous Mycobacterial Pulmonary Disease |
| NCT04922554 | PHASE2 | COMPLETED | Oral Omadacycline vs. Placebo in Adults With NTM Pulmonary Disease Caused by Mycobacterium Abscessus Complex (MABc) |
| NCT04078412 | Not specified | ENROLLING_BY_INVITATION | A Registry for Nontuberculous Mycobacterial Pulmonary Disease |
| NCT05277857 | Not specified | ACTIVE_NOT_RECRUITING | Mycobacterial Lung Diseases in Virginia: Sequencing and Clinical Determinants of Relapse and Outcome |
| NCT06262282 | Not specified | ENROLLING_BY_INVITATION | Mycobacteriophage Treatment of Non-tuberculosis Mycobacteria |
| NCT06266442 | Not specified | RECRUITING | M. Avium WGS During Mav-PD Treatment |
| NCT06488495 | Not specified | RECRUITING | Exercise Program in Patients With Nontuberculous Mycobacterial Pulmonary Disease |
| NCT06838442 | Not specified | RECRUITING | Rehabilitation Exercise and Education of Airway Clearance Technique in NTM-PD: A Prospective Cohort Study |
| NCT07076238 | Not specified | RECRUITING | Biomarkers of Phage Treatment Response in NTM and Other Infections |
| NCT07363798 | Not specified | NOT_YET_RECRUITING | Association of Nutrition and T Cell Immune Activity With Disease Progression in Nontuberculous Mycobacterial Pulmonary Disease |
| NCT07377864 | Not specified | NOT_YET_RECRUITING | Clinical Characteristics and Immune Escape Mechanism of Nontuberculous Mycobacterial Lung Disease in South China |
| NCT00970801 | Not specified | UNKNOWN | Study of Nontuberculous Mycobacterial Lung Disease |
| NCT05678166 | Not specified | UNKNOWN | Validation of Soluble Programmed Death-1 in Predicting Progression of Nodular-bronchiectatic Form of Nontuberculous Mycobacterial Lung Disease: a Multi-Country Research |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| AZITHROMYCIN | 4 | 1 |
| ETHAMBUTOL | 4 | 1 |
| OMADACYCLINE | 4 | 1 |
| RIFAMPIN | 4 | 1 |
| SODIUM CHLORIDE | 4 | 1 |
| CHEMBL4299381 | 0 | 1 |
Related Atlas pages
- Drugs: Azithromycin, Ethambutol, Omadacycline, Rifampin, Sodium Chloride