Run ID: ERR1034680
Sample name:
Date: 2024-10-05T11:04:45.951058
Number of reads: 5642518
Percentage reads mapped: 99.58
Median coverage: 95.0
Strain: lineage4.1.2.1;lineage4.3.4.1
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage4.3 | Euro-American (LAM) | None | 0.87 |
| lineage4.1 | Euro-American | None | 0.12 |
| lineage4.1.2 | Euro-American | None | 0.11 |
| lineage4.1.2.1 | Euro-American (Haarlem) | RD182 | 0.13 |
| lineage4.3.4.1 | Euro-American (LAM) | RD174 | 0.89 |
| lineage4 | Euro-American | None | 1.0 |
| lineage4.3.4 | Euro-American (LAM) | RD174 | 0.88 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Asp435Val | Assoc w R | |
| p.Ser450Leu | Assoc w R | |||
| rpoC | p.Gly332Arg | Uncertain significance | Mutation from literature | |
| isoniazid | inhA | c.-777C>T | Assoc w R | Alias fabG1_c.-15C>T. Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) |
| katG | p.Ser315Thr | Assoc w R | High-level resistance | |
| ethambutol | embB | p.Met306Val | Assoc w R | |
| pyrazinamide | pncA | c.-11A>G | Assoc w R | |
| streptomycin | rpsL | p.Lys43Arg | Assoc w R | |
| gid | p.Leu79Ser | Uncertain significance | Mutation from literature | |
| fluoroquinolones | ||||
| moxifloxacin | gyrA | p.Asp94Gly | Assoc w R | High-level resistance |
| ofloxacin | ||||
| levofloxacin | gyrA | p.Asp94Gly | Assoc w R | |
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | inhA | c.-777C>T | Assoc w R | Alias fabG1_c.-15C>T |
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7582 | p.Asp94Gly | missense_variant | 0.18 | levofloxacin | Assoc w R | |
| moxifloxacin | Assoc w R | High-level resistance | |||||
| rpoB | 761110 | p.Asp435Val | missense_variant | 0.84 | rifampicin | Assoc w R | |
| rpoB | 761155 | p.Ser450Leu | missense_variant | 0.17 | rifampicin | Assoc w R | |
| rpoC | 764363 | p.Gly332Arg | missense_variant | 0.26 | rifampicin | Uncertain significance | Mutation from literature |
| rpsL | 781687 | p.Lys43Arg | missense_variant | 0.11 | streptomycin | Assoc w R | |
| inhA | 1673425 | c.-777C>T | upstream_gene_variant | 1.0 | ethionamide | Assoc w R | Alias fabG1_c.-15C>T |
| isoniazid | Assoc w R | Alias fabG1_c.-15C>T. Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) | |||||
| katG | 2155167 | p.Ser315Thr | missense_variant | 0.87 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2289252 | c.-11A>G | upstream_gene_variant | 0.16 | pyrazinamide | Assoc w R | |
| embB | 4247429 | p.Met306Val | missense_variant | 0.15 | ethambutol | Assoc w R | |
| gid | 4407967 | p.Leu79Ser | missense_variant | 0.87 | streptomycin | Uncertain significance | Mutation from literature |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence |
|---|---|---|---|---|---|---|
| gyrA | 7362 | p.Glu21Gln | missense_variant | 1.0 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 7585 | p.Ser95Thr | missense_variant | 1.0 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 7587 | c.286C>T | synonymous_variant | 0.19 | levofloxacin | Not assoc w R - Interim |
| moxifloxacin | Not assoc w R - Interim | |||||
| gyrA | 9304 | p.Gly668Asp | missense_variant | 1.0 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| mshA | 575679 | p.Asn111Ser | missense_variant | 0.16 | isoniazid | Not assoc w R |
| ethionamide | Not assoc w R | |||||
| hadA | 732111 | p.Cys61Ser | missense_variant | 0.12 | isoniazid | Uncertain significance |
| rpoC | 764863 | c.1494G>C | synonymous_variant | 0.17 | rifampicin | Not assoc w R - Interim |
| rpoC | 764995 | c.1626C>G | synonymous_variant | 0.85 | rifampicin | Not assoc w R |
| rpoC | 766628 | p.Arg1087Gly | missense_variant | 0.13 | rifampicin | |
| mmpL5 | 775639 | p.Ile948Val | missense_variant | 1.0 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| sigE | 1364434 | p.Arg8Trp | missense_variant | 0.86 | pyrazinamide | Not assoc w R |
| sigE | 1364940 | c.528C>A | synonymous_variant | 0.97 | pyrazinamide | |
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | kanamycin | |
| capreomycin | ||||||
| streptomycin | ||||||
| amikacin | ||||||
| tsnR | 1854300 | p.Leu232Pro | missense_variant | 1.0 | linezolid | Not assoc w R |
| tlyA | 1917972 | c.33A>G | synonymous_variant | 1.0 | capreomycin | Not assoc w R |
| Rv1979c | 2223293 | c.-129A>G | upstream_gene_variant | 1.0 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| kasA | 2518076 | c.-39C>T | upstream_gene_variant | 0.15 | isoniazid | |
| ahpC | 2726323 | p.Pro44Arg | missense_variant | 0.86 | isoniazid | Uncertain significance |
| Rv2477c | 2784613 | c.-571T>C | upstream_gene_variant | 0.69 | kanamycin | |
| levofloxacin | ||||||
| moxifloxacin | ||||||
| streptomycin | ||||||
| rifampicin | ||||||
| ethambutol | ||||||
| amikacin | ||||||
| ribD | 2986729 | c.-110G>A | upstream_gene_variant | 0.92 | para-aminosalicylic_acid | |
| thyA | 3073868 | p.Thr202Ala | missense_variant | 0.84 | para-aminosalicylic_acid | |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| Rv3236c | 3612009 | p.Ala370Thr | missense_variant | 0.83 | pyrazinamide | Not assoc w R |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | rifampicin | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| clpC1 | 4038287 | c.2418C>T | synonymous_variant | 0.87 | pyrazinamide | Not assoc w R |
| embC | 4239298 | c.-565C>T | upstream_gene_variant | 0.14 | ethambutol | Not assoc w R |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| ubiA | 4269133 | p.Gly234Val | missense_variant | 0.89 | ethambutol | Uncertain significance |
| ubiA | 4269296 | p.Met180Val | missense_variant | 0.14 | ethambutol | Uncertain significance |
| ethA | 4326344 | p.Ile377Ser | missense_variant | 0.13 | ethionamide | |
| whiB6 | 4338594 | c.-75_-73delGCTinsCC | upstream_gene_variant | 1.0 | kanamycin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| amikacin | Not assoc w R | |||||
| whiB6 | 4338732 | c.-211C>T | upstream_gene_variant | 0.99 | kanamycin | |
| capreomycin | ||||||
| amikacin | ||||||
| gid | 4408156 | p.Leu16Arg | missense_variant | 0.84 | streptomycin | Not assoc w R |