Run ID: ERR10748243
Sample name:
Date: 2025-07-23T01:53:11.185856
Number of reads: 1175732
Percentage reads mapped: 99.87
Median coverage: 49.0
Strain: lineage1.2.2.1;lineage2.2.1
Spoligotype:
Drug-resistance: MDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage1 | Indo-Oceanic | RD239 | 59.59 |
| lineage1.2.2 | Indo-Oceanic | RD239 | 63.54 |
| lineage1.2.2.1 | Indo-Oceanic | RD239 | 62.52 |
| lineage2 | East-Asian | RD105 | 44.53 |
| lineage2.2.1 | East-Asian (Beijing) | RD105;RD207;RD181 | 44.09 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.His445Cys | Assoc w R | |
| p.Leu452Pro | Assoc w R | |||
| isoniazid | katG | p.Ser315Thr | Assoc w R | High-level resistance |
| p.Ser315Asn | Assoc w R | High-level resistance | ||
| ethambutol | embB | p.Met306Val | Assoc w R | |
| pyrazinamide | pncA | c.64delA | Assoc w R | |
| streptomycin | ||||
| fluoroquinolones | ||||
| moxifloxacin | ||||
| ofloxacin | ||||
| levofloxacin | ||||
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | ||||
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| rpoB | 761139 | p.His445Cys | missense_variant | 0.63 | rifampicin | Assoc w R | |
| rpoB | 761161 | p.Leu452Pro | missense_variant | 0.35 | rifampicin | Assoc w R | |
| katG | 2155168 | p.Ser315Thr | missense_variant | 0.71 | isoniazid | Assoc w R | High-level resistance |
| katG | 2155168 | p.Ser315Asn | missense_variant | 0.29 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2289177 | c.64delA | frameshift_variant | 0.52 | pyrazinamide | Assoc w R | |
| embB | 4247429 | p.Met306Val | missense_variant | 0.8 | ethambutol | Assoc w R |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence |
|---|---|---|---|---|---|---|
| dnaA | 237 | c.237G>A | synonymous_variant | 0.57 | isoniazid | Not assoc w R - Interim |
| gyrB | 5075 | c.-165C>T | upstream_gene_variant | 0.73 | levofloxacin | Uncertain significance |
| moxifloxacin | Uncertain significance | |||||
| gyrB | 6112 | p.Met291Ile | missense_variant | 0.62 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| 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 | 8452 | p.Ala384Val | missense_variant | 0.61 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 9143 | c.1842T>C | synonymous_variant | 0.59 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 9304 | p.Gly668Asp | missense_variant | 1.0 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| Rv0010c | 13298 | p.Ile87Met | missense_variant | 0.62 | isoniazid | Not assoc w R |
| Rv0010c | 13460 | c.99T>C | synonymous_variant | 0.5 | isoniazid | Not assoc w R |
| Rv0010c | 13482 | p.Ala26Val | missense_variant | 0.54 | isoniazid | Not assoc w R |
| Rv0010c | 13503 | p.Gly19Ala | missense_variant | 0.57 | isoniazid | Uncertain significance |
| fgd1 | 491060 | p.Met93Thr | missense_variant | 0.54 | clofazimine | Uncertain significance |
| delamanid | Uncertain significance | |||||
| pretomanid | Uncertain significance | |||||
| fgd1 | 491742 | c.960T>C | synonymous_variant | 1.0 | clofazimine | Not assoc w R |
| delamanid | Not assoc w R - Interim | |||||
| pretomanid | Uncertain significance | |||||
| mshA | 575907 | p.Ala187Val | missense_variant | 0.3 | ethionamide | Not assoc w R |
| isoniazid | Not assoc w R | |||||
| ccsA | 620625 | p.Ile245Met | missense_variant | 0.44 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| ccsA | 620659 | p.Arg257Cys | missense_variant | 0.57 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 0.5 | ethionamide | Not assoc w R - Interim |
| Rv0565c | 657142 | p.Arg110His | missense_variant | 0.28 | ethionamide | Uncertain significance |
| Rv0565c | 657578 | c.-108T>C | upstream_gene_variant | 0.62 | ethionamide | Uncertain significance |
| nusG | 734116 | c.-138T>C | upstream_gene_variant | 0.57 | rifampicin | Not assoc w R |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 1.0 | rifampicin | Not assoc w R |
| rpoC | 763884 | p.Ala172Val | missense_variant | 0.54 | rifampicin | Not assoc w R |
| rpoC | 763886 | c.517C>A | synonymous_variant | 0.57 | rifampicin | Not assoc w R |
| mmpL5 | 775639 | p.Ile948Val | missense_variant | 1.0 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| mmpL5 | 776100 | p.Thr794Ile | missense_variant | 1.0 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| mmpL5 | 776182 | p.Asp767Asn | missense_variant | 0.25 | bedaquiline | Not assoc w R |
| clofazimine | Not assoc w R | |||||
| mmpS5 | 779615 | c.-710C>G | upstream_gene_variant | 0.39 | bedaquiline | Uncertain significance |
| clofazimine | Uncertain significance | |||||
| rpsL | 781301 | c.-259C>T | upstream_gene_variant | 0.21 | streptomycin | Uncertain significance |
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| rplC | 800357 | c.-452C>A | upstream_gene_variant | 0.71 | linezolid | Not assoc w R |
| rplC | 800899 | p.Ala31Thr | missense_variant | 0.57 | linezolid | Uncertain significance |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 1.0 | isoniazid | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| moxifloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| embR | 1417019 | p.Cys110Tyr | missense_variant | 0.53 | ethambutol | Not assoc w R |
| embR | 1417554 | c.-207C>G | upstream_gene_variant | 0.56 | ethambutol | Uncertain significance |
| embR | 1417793 | c.-446C>T | upstream_gene_variant | 0.54 | ethambutol | Uncertain significance |
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1471842 | n.-4T>G | upstream_gene_variant | 0.74 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rpsA | 1833284 | c.-258C>T | upstream_gene_variant | 0.66 | pyrazinamide | Uncertain significance |
| rpsA | 1834177 | c.636A>C | synonymous_variant | 0.43 | pyrazinamide | Not assoc w R - Interim |
| tsnR | 1853974 | c.369C>T | synonymous_variant | 0.67 | linezolid | Not assoc w R |
| 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 |
| bacA | 2062922 | p.Ile603Val | missense_variant | 0.6 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Not assoc w R | |||||
| streptomycin | Not assoc w R | |||||
| ndh | 2101848 | c.1195C>T | synonymous_variant | 0.53 | delamanid | Not assoc w R - Interim |
| ethionamide | Not assoc w R - Interim | |||||
| isoniazid | Not assoc w R - Interim | |||||
| katG | 2154724 | p.Arg463Leu | missense_variant | 1.0 | isoniazid | Not assoc w R |
| katG | 2154977 | p.Ala379Thr | missense_variant | 0.43 | isoniazid | Uncertain significance |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 1.0 | pyrazinamide | Not assoc w R |
| Rv1979c | 2222308 | p.Asp286Gly | missense_variant | 0.7 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| Rv1979c | 2223014 | p.Tyr51Asn | missense_variant | 0.42 | bedaquiline | Uncertain significance |
| clofazimine | Uncertain significance | |||||
| Rv1979c | 2223293 | c.-129A>G | upstream_gene_variant | 1.0 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| kasA | 2518132 | c.18C>T | synonymous_variant | 0.66 | isoniazid | Uncertain significance |
| eis | 2714846 | p.Val163Ile | missense_variant | 0.26 | amikacin | Not assoc w R |
| kanamycin | Not assoc w R | |||||
| ahpC | 2726051 | c.-142G>A | upstream_gene_variant | 0.66 | isoniazid | Uncertain significance |
| ribD | 2987120 | c.282C>T | synonymous_variant | 0.7 | para-aminosalicylic_acid | Uncertain significance |
| Rv2680 | 2996287 | c.183A>G | synonymous_variant | 0.53 | capreomycin | Not assoc w R - Interim |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | Uncertain significance |
| Rv3083 | 3448714 | p.Asp71His | missense_variant | 0.71 | ethionamide | Uncertain significance |
| Rv3236c | 3612813 | p.Thr102Ala | missense_variant | 0.31 | pyrazinamide | Not assoc w R - Interim |
| lpqB | 3624486 | p.Asp142Gly | missense_variant | 0.46 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| mtrB | 3626562 | p.Pro18Ser | missense_variant | 0.22 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| clpC1 | 4040517 | p.Val63Ala | missense_variant | 0.58 | pyrazinamide | Not assoc w R - Interim |
| glpK | 4138377 | p.Val460Ala | missense_variant | 0.66 | ethambutol | Not assoc w R |
| isoniazid | Not assoc w R | |||||
| levofloxacin | Not assoc w R | |||||
| moxifloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| streptomycin | Not assoc w R | |||||
| embC | 4240671 | p.Thr270Ile | missense_variant | 0.49 | ethambutol | Not assoc w R |
| embC | 4240750 | c.888C>T | synonymous_variant | 0.67 | ethambutol | Not assoc w R |
| embC | 4241042 | p.Asn394Asp | missense_variant | 0.62 | ethambutol | Not assoc w R |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embA | 4243225 | c.-8C>T | upstream_gene_variant | 0.38 | ethambutol | Uncertain significance |
| embA | 4243460 | c.228C>T | synonymous_variant | 0.39 | ethambutol | Not assoc w R |
| embA | 4245969 | p.Pro913Ser | missense_variant | 0.61 | ethambutol | Not assoc w R |
| embB | 4247646 | p.Glu378Ala | missense_variant | 0.73 | ethambutol | Not assoc w R |
| embB | 4248115 | c.1602C>T | synonymous_variant | 0.29 | ethambutol | Not assoc w R |
| aftB | 4267647 | p.Asp397Gly | missense_variant | 0.49 | ethambutol | Not assoc w R |
| ubiA | 4269387 | p.Glu149Asp | missense_variant | 0.73 | ethambutol | Not assoc w R |
| ubiA | 4269606 | c.228T>C | synonymous_variant | 0.67 | ethambutol | Not assoc w R |
| ethA | 4326439 | p.Asn345Lys | missense_variant | 0.63 | ethionamide | Uncertain significance |
| ethA | 4327450 | c.24C>T | synonymous_variant | 0.63 | ethionamide | Not assoc w R - Interim |
| ethR | 4327602 | c.54G>A | synonymous_variant | 0.59 | ethionamide | Not assoc w R - Interim |
| whiB6 | 4338595 | c.-75delG | upstream_gene_variant | 1.0 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Not assoc w R | |||||
| whiB6 | 4338603 | c.-82C>T | upstream_gene_variant | 0.71 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Not assoc w R | |||||
| whiB6 | 4338732 | c.-211C>T | upstream_gene_variant | 1.0 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| gid | 4407588 | c.615A>G | synonymous_variant | 1.0 | streptomycin | Not assoc w R |
| gid | 4407873 | c.330G>T | synonymous_variant | 0.61 | streptomycin | Not assoc w R |
| gid | 4407927 | p.Glu92Asp | missense_variant | 0.42 | streptomycin | Not assoc w R |