Run ID: ERR11465361
Sample name:
Date: 2024-10-04T17:13:41.223188
Number of reads: 1600070
Percentage reads mapped: 99.14
Median coverage: 37.0
Strain: lineage4.3.4.1
Spoligotype:
Drug-resistance: MDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage4.3 | Euro-American (LAM) | None | 1.0 |
| lineage4.3.4.1 | Euro-American (LAM) | RD174 | 1.0 |
| lineage4 | Euro-American | None | 1.0 |
| lineage4.3.4 | Euro-American (LAM) | RD174 | 1.0 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.His445Ser | Assoc w R | |
| p.Ala451Val | Assoc w R - Interim | Expert rule: Non-silent variants in RRDR of rpoB | ||
| isoniazid | katG | p.Ser315Thr | Assoc w R | High-level resistance |
| ethambutol | embB | p.Gln497Arg | Assoc w R | |
| pyrazinamide | ||||
| streptomycin | rrs | n.462C>T | Uncertain significance | Mutation from literature |
| fluoroquinolones | ||||
| moxifloxacin | ||||
| ofloxacin | ||||
| levofloxacin | ||||
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | ethA | p.Gln449* | Assoc w R | |
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| rpoB | 761139 | p.His445Ser | missense_variant | 1.0 | rifampicin | Assoc w R | |
| rpoB | 761158 | p.Ala451Val | missense_variant | 1.0 | rifampicin | Assoc w R - Interim | Expert rule: Non-silent variants in RRDR of rpoB |
| rrs | 1472307 | n.462C>T | non_coding_transcript_exon_variant | 0.13 | streptomycin | Uncertain significance | Mutation from literature |
| katG | 2155168 | p.Ser315Thr | missense_variant | 1.0 | isoniazid | Assoc w R | High-level resistance |
| embB | 4248003 | p.Gln497Arg | missense_variant | 0.98 | ethambutol | Assoc w R | |
| ethA | 4326129 | p.Gln449* | stop_gained | 1.0 | ethionamide | Assoc w R |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence |
|---|---|---|---|---|---|---|
| dnaA | 1452 | p.Met484Ile | missense_variant | 1.0 | isoniazid | Uncertain significance |
| 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 | 9304 | p.Gly668Asp | missense_variant | 1.0 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| Rv0010c | 13483 | p.Ala26Thr | missense_variant | 1.0 | isoniazid | Uncertain significance |
| nusG | 734532 | c.279A>G | synonymous_variant | 0.12 | rifampicin | Not assoc w R - Interim |
| mmaA3 | 737358 | c.792A>C | synonymous_variant | 0.13 | isoniazid | |
| rpoB | 760670 | c.864G>C | synonymous_variant | 0.14 | rifampicin | |
| rpoB | 760674 | c.868T>C | synonymous_variant | 0.13 | rifampicin | Not assoc w R - Interim |
| rpoB | 761273 | c.1467T>C | synonymous_variant | 0.21 | rifampicin | Not assoc w R - Interim |
| rpoB | 761282 | c.1476C>T | synonymous_variant | 0.22 | rifampicin | |
| rpoC | 763666 | c.297G>C | synonymous_variant | 0.16 | rifampicin | Not assoc w R - Interim |
| rpoC | 764968 | c.1599T>C | synonymous_variant | 0.13 | rifampicin | Not assoc w R - Interim |
| rpoC | 764995 | c.1626C>G | synonymous_variant | 0.91 | rifampicin | Not assoc w R |
| rpoC | 766426 | c.3057C>T | synonymous_variant | 0.19 | rifampicin | |
| rpoC | 766429 | c.3060C>G | synonymous_variant | 0.19 | rifampicin | |
| rpoC | 766624 | c.3255G>C | synonymous_variant | 0.12 | rifampicin | |
| rpoC | 767098 | c.3729T>C | synonymous_variant | 0.21 | rifampicin | Not assoc w R - Interim |
| rpoC | 767119 | c.3750A>G | synonymous_variant | 0.2 | rifampicin | Not assoc w R - Interim |
| rpoC | 767134 | c.3765C>A | synonymous_variant | 0.2 | rifampicin | |
| rpoC | 767152 | c.3783T>G | synonymous_variant | 0.16 | rifampicin | |
| rpoC | 767155 | c.3786C>G | synonymous_variant | 0.17 | rifampicin | |
| rpoC | 767167 | c.3798C>T | synonymous_variant | 0.2 | rifampicin | |
| rpoC | 767180 | p.Ala1271Pro | missense_variant | 0.14 | rifampicin | |
| rpoC | 767191 | c.3822C>G | synonymous_variant | 0.13 | rifampicin | Not assoc w R - Interim |
| 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 | 1.0 | pyrazinamide | Not assoc w R |
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | kanamycin | |
| capreomycin | ||||||
| streptomycin | ||||||
| amikacin | ||||||
| rrs | 1472314 | n.469A>G | non_coding_transcript_exon_variant | 0.14 | kanamycin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| streptomycin | ||||||
| amikacin | Uncertain significance | |||||
| rrs | 1472315 | n.470T>C | non_coding_transcript_exon_variant | 0.14 | kanamycin | |
| capreomycin | ||||||
| streptomycin | ||||||
| amikacin | ||||||
| rrl | 1474716 | n.1059A>C | non_coding_transcript_exon_variant | 0.13 | capreomycin | |
| linezolid | ||||||
| rrl | 1475369 | n.1712G>C | non_coding_transcript_exon_variant | 0.17 | capreomycin | |
| linezolid | ||||||
| rrl | 1476580 | n.2923G>A | non_coding_transcript_exon_variant | 0.15 | capreomycin | |
| linezolid | ||||||
| rpsA | 1833928 | c.387G>C | synonymous_variant | 0.16 | pyrazinamide | |
| rpsA | 1833940 | c.399C>G | synonymous_variant | 0.14 | pyrazinamide | |
| rpsA | 1833958 | p.Ile139Met | missense_variant | 0.94 | pyrazinamide | |
| 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 | 2222854 | p.Ile104Thr | missense_variant | 1.0 | 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 | |||||
| folC | 2747371 | c.228C>G | synonymous_variant | 0.21 | para-aminosalicylic_acid | |
| Rv2477c | 2783620 | c.423C>G | synonymous_variant | 0.12 | kanamycin | |
| levofloxacin | ||||||
| moxifloxacin | ||||||
| streptomycin | ||||||
| rifampicin | ||||||
| ethambutol | ||||||
| amikacin | ||||||
| Rv2477c | 2783626 | p.Ala139Ser | missense_variant | 0.13 | kanamycin | |
| levofloxacin | ||||||
| moxifloxacin | ||||||
| streptomycin | ||||||
| rifampicin | ||||||
| ethambutol | ||||||
| amikacin | ||||||
| Rv2477c | 2783632 | c.411C>G | synonymous_variant | 0.12 | kanamycin | |
| levofloxacin | ||||||
| moxifloxacin | ||||||
| streptomycin | ||||||
| rifampicin | ||||||
| ethambutol | ||||||
| amikacin | ||||||
| Rv2752c | 3064523 | p.Glu557Lys | missense_variant | 1.0 | levofloxacin | |
| moxifloxacin | ||||||
| isoniazid | ||||||
| rifampicin | ||||||
| ethambutol | ||||||
| thyA | 3073868 | p.Thr202Ala | missense_variant | 0.97 | para-aminosalicylic_acid | |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| Rv3236c | 3612009 | p.Ala370Thr | missense_variant | 1.0 | pyrazinamide | Not assoc w R |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | rifampicin | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| mtrB | 3627323 | c.-712_-710delTTGinsCTC | upstream_gene_variant | 0.16 | rifampicin | |
| bedaquiline | ||||||
| fbiA | 3640381 | c.-162T>C | upstream_gene_variant | 1.0 | pretomanid | |
| delamanid | ||||||
| clofazimine | ||||||
| rpoA | 3877818 | c.690A>G | synonymous_variant | 0.21 | rifampicin | Not assoc w R - Interim |
| rpoA | 3877839 | c.669G>T | synonymous_variant | 0.27 | rifampicin | |
| rpoA | 3877848 | c.660C>T | synonymous_variant | 0.2 | rifampicin | Not assoc w R - Interim |
| rpoA | 3877857 | c.651G>A | synonymous_variant | 0.19 | rifampicin | |
| clpC1 | 4038287 | c.2418C>T | synonymous_variant | 1.0 | pyrazinamide | Not assoc w R |
| clpC1 | 4039991 | c.714G>A | synonymous_variant | 1.0 | pyrazinamide | Not assoc w R |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| whiB6 | 4338595 | c.-75delG | upstream_gene_variant | 1.0 | kanamycin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| amikacin | Not assoc w R | |||||
| whiB6 | 4338732 | c.-211C>T | upstream_gene_variant | 1.0 | kanamycin | |
| capreomycin | ||||||
| amikacin | ||||||
| gid | 4408156 | p.Leu16Arg | missense_variant | 1.0 | streptomycin | Not assoc w R |