Run ID: ERR13286216
Sample name:
Date: 2025-07-16T14:55:26.478730
Number of reads: 4370472
Percentage reads mapped: 99.73
Median coverage: 139.0
Strain: lineage2.2.1.1;lineage4.4.1.1
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage2 | East-Asian | RD105 | 29.08 |
| lineage2.2 | East-Asian (Beijing) | RD105;RD207 | 28.97 |
| lineage2.2.1 | East-Asian (Beijing) | RD105;RD207;RD181 | 28.78 |
| lineage2.2.1.1 | East-Asian (Beijing) | RD105;RD207;RD181;RD150 | 31.3 |
| lineage4 | Euro-American | None | 69.38 |
| lineage4.4 | Euro-American | None | 66.39 |
| lineage4.4.1 | Euro-American (S-type) | None | 68.75 |
| lineage4.4.1.1 | Euro-American | None | 69.98 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Asp435Val | Assoc w R | |
| p.His445Tyr | Assoc w R | |||
| isoniazid | inhA | c.-770T>C | Assoc w R - Interim | Alias fabG1_c.-8T>C. 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.Gly406Ala | Assoc w R | |
| pyrazinamide | pncA | p.Val130Gly | Assoc w R - Interim | |
| streptomycin | rrs | n.517C>T | Assoc w R | |
| fluoroquinolones | ||||
| moxifloxacin | gyrA | p.Ser91Pro | Assoc w R | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) |
| ofloxacin | ||||
| levofloxacin | gyrA | p.Ser91Pro | Assoc w R | |
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | inhA | c.-770T>C | Assoc w R - Interim | Alias fabG1_c.-8T>C |
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7572 | p.Ser91Pro | missense_variant | 0.72 | levofloxacin | Assoc w R | |
| moxifloxacin | Assoc w R | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) | |||||
| rpoB | 761110 | p.Asp435Val | missense_variant | 0.71 | rifampicin | Assoc w R | |
| rpoB | 761139 | p.His445Tyr | missense_variant | 0.31 | rifampicin | Assoc w R | |
| rrs | 1472362 | n.517C>T | non_coding_transcript_exon_variant | 0.77 | streptomycin | Assoc w R | |
| inhA | 1673432 | c.-770T>C | upstream_gene_variant | 0.73 | ethionamide | Assoc w R - Interim | Alias fabG1_c.-8T>C |
| isoniazid | Assoc w R - Interim | Alias fabG1_c.-8T>C. Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) | |||||
| katG | 2155168 | p.Ser315Thr | missense_variant | 0.69 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2288853 | p.Val130Gly | missense_variant | 0.75 | pyrazinamide | Assoc w R - Interim | |
| embB | 4247730 | p.Gly406Ala | missense_variant | 0.69 | ethambutol | Assoc w R |
| 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 | 9138 | p.Gln613Glu | missense_variant | 0.76 | 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 | |||||
| fgd1 | 491742 | c.960T>C | synonymous_variant | 0.29 | clofazimine | Not assoc w R |
| delamanid | Not assoc w R - Interim | |||||
| pretomanid | Uncertain significance | |||||
| mshA | 575907 | p.Ala187Val | missense_variant | 0.32 | ethionamide | Not assoc w R |
| isoniazid | Not assoc w R | |||||
| ccsA | 620625 | p.Ile245Met | missense_variant | 0.29 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 0.32 | ethionamide | Not assoc w R - Interim |
| Rv0565c | 657142 | p.Arg110His | missense_variant | 0.28 | ethionamide | Uncertain significance |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 0.31 | 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 | 0.35 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| mmpL5 | 776182 | p.Asp767Asn | missense_variant | 0.3 | bedaquiline | Not assoc w R |
| clofazimine | Not assoc w R | |||||
| mmpL5 | 777416 | c.1065G>T | synonymous_variant | 0.74 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R - Interim | |||||
| mmpS5 | 779615 | c.-710C>G | upstream_gene_variant | 0.27 | bedaquiline | Uncertain significance |
| clofazimine | Uncertain significance | |||||
| rpsL | 781301 | c.-259C>T | upstream_gene_variant | 0.35 | streptomycin | Uncertain significance |
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 0.25 | isoniazid | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| moxifloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| Rv1258c | 1406760 | c.580_581insC | frameshift_variant | 0.4 | isoniazid | Uncertain significance |
| pyrazinamide | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rpsA | 1834177 | c.636A>C | synonymous_variant | 0.31 | pyrazinamide | Not assoc w R - Interim |
| 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 |
| ndh | 2102990 | p.Val18Ala | missense_variant | 0.66 | delamanid | Uncertain significance |
| ethionamide | Uncertain significance | |||||
| isoniazid | Not assoc w R | |||||
| katG | 2154724 | p.Arg463Leu | missense_variant | 0.35 | isoniazid | Not assoc w R |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 0.3 | pyrazinamide | Not assoc w R |
| PPE35 | 2168479 | p.Thr712Pro | missense_variant | 0.74 | pyrazinamide | Not assoc w R |
| PPE35 | 2169840 | p.Gly258Asp | missense_variant | 0.66 | pyrazinamide | Not assoc w R |
| Rv1979c | 2223014 | p.Tyr51Asn | missense_variant | 0.32 | 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 | |||||
| eis | 2714846 | p.Val163Ile | missense_variant | 0.24 | amikacin | Not assoc w R |
| kanamycin | Not assoc w R | |||||
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | Uncertain significance |
| Rv3083 | 3448506 | p.Met1? | start_lost | 0.71 | ethionamide | Uncertain significance |
| Rv3083 | 3448608 | c.105G>A | synonymous_variant | 0.76 | ethionamide | Not assoc w R - Interim |
| whiB7 | 3568779 | c.-100T>C | upstream_gene_variant | 0.73 | amikacin | Not assoc w R |
| kanamycin | Not assoc w R | |||||
| streptomycin | Not assoc w R | |||||
| Rv3236c | 3612665 | p.Val151Ala | missense_variant | 0.75 | pyrazinamide | Not assoc w R |
| Rv3236c | 3612813 | p.Thr102Ala | missense_variant | 0.24 | pyrazinamide | Not assoc w R - Interim |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| mtrB | 3626562 | p.Pro18Ser | missense_variant | 0.4 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| embC | 4238963 | c.-900C>T | upstream_gene_variant | 0.67 | ethambutol | Not assoc w R |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embA | 4243460 | c.228C>T | synonymous_variant | 0.32 | ethambutol | Not assoc w R |
| embB | 4248115 | c.1602C>T | synonymous_variant | 0.26 | ethambutol | Not assoc w R |
| aftB | 4267647 | p.Asp397Gly | missense_variant | 0.27 | ethambutol | Not assoc w R |
| ethA | 4326359 | p.Met372Arg | missense_variant | 0.68 | ethionamide | Uncertain significance |
| 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 | 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 | 0.32 | streptomycin | Not assoc w R |
| gid | 4407927 | p.Glu92Asp | missense_variant | 0.31 | streptomycin | Not assoc w R |