Run ID: ERR163947
Sample name:
Date: 2024-10-04T17:35:18.852238
Number of reads: 2721880
Percentage reads mapped: 99.16
Median coverage: 59.0
Strain: lineage1.1.2;lineage1.2.2.2
Spoligotype:
Drug-resistance: MDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage1.1.2 | Indo-Oceanic | RD239 | 0.49 |
| lineage1.2.2 | Indo-Oceanic | RD239 | 0.44 |
| lineage1.2.2.2 | Indo-Oceanic | RD239 | 0.48 |
| lineage1.1 | Indo-Oceanic | RD239 | 0.51 |
| lineage1 | Indo-Oceanic | RD239 | 0.97 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.His445Asn | Assoc w R | |
| isoniazid | inhA | p.Ser94Ala | Assoc w R - Interim | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) |
| ethambutol | ||||
| pyrazinamide | ||||
| streptomycin | rrs | n.514A>T | Uncertain significance | Mutation from literature |
| fluoroquinolones | ||||
| moxifloxacin | ||||
| ofloxacin | ||||
| levofloxacin | ||||
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | inhA | p.Ser94Ala | Assoc w R - Interim | |
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| rpoB | 761139 | p.His445Asn | missense_variant | 0.47 | rifampicin | Assoc w R | |
| rrs | 1472359 | n.514A>T | non_coding_transcript_exon_variant | 0.27 | streptomycin | Uncertain significance | Mutation from literature |
| inhA | 1674481 | p.Ser94Ala | missense_variant | 0.48 | ethionamide | Assoc w R - Interim | |
| isoniazid | Assoc w R - Interim | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence |
|---|---|---|---|---|---|---|
| gyrB | 5075 | c.-165C>T | upstream_gene_variant | 0.29 | levofloxacin | |
| moxifloxacin | ||||||
| gyrB | 6112 | p.Met291Ile | missense_variant | 0.98 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrB | 6124 | c.885C>T | synonymous_variant | 0.61 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 7268 | c.-34C>T | upstream_gene_variant | 0.31 | 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 | 0.97 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 9143 | c.1842T>C | synonymous_variant | 0.99 | 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 | 1.0 | isoniazid | Not assoc w R |
| Rv0010c | 13460 | c.99T>C | synonymous_variant | 0.87 | isoniazid | Not assoc w R |
| Rv0010c | 13699 | c.-141A>G | upstream_gene_variant | 0.42 | isoniazid | Not assoc w R |
| fgd1 | 491742 | c.960T>C | synonymous_variant | 0.97 | pretomanid | |
| delamanid | Not assoc w R - Interim | |||||
| clofazimine | Not assoc w R | |||||
| Rv0565c | 657578 | c.-108T>C | upstream_gene_variant | 0.97 | ethionamide | |
| hadA | 732154 | c.225G>C | synonymous_variant | 0.66 | isoniazid | Not assoc w R - Interim |
| nusG | 734116 | c.-138T>C | upstream_gene_variant | 0.97 | rifampicin | Not assoc w R |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 0.98 | rifampicin | Not assoc w R |
| rpoC | 763552 | c.183C>T | synonymous_variant | 0.44 | rifampicin | Not assoc w R |
| rpoC | 763790 | p.Glu141Lys | missense_variant | 0.68 | rifampicin | |
| rpoC | 763884 | p.Ala172Val | missense_variant | 0.95 | rifampicin | Not assoc w R |
| rpoC | 763886 | c.517C>A | synonymous_variant | 0.93 | rifampicin | Not assoc w R |
| rpoC | 765171 | p.Pro601Leu | missense_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 | |||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| rplC | 800250 | c.-559C>G | upstream_gene_variant | 0.47 | linezolid | |
| rplC | 800357 | c.-452C>A | upstream_gene_variant | 0.96 | linezolid | Not assoc w R |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 0.96 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| embR | 1417019 | p.Cys110Tyr | missense_variant | 1.0 | ethambutol | Not assoc w R |
| embR | 1417554 | c.-207C>G | upstream_gene_variant | 0.98 | ethambutol | |
| embR | 1417793 | c.-446C>T | upstream_gene_variant | 0.96 | ethambutol | |
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | kanamycin | |
| capreomycin | ||||||
| streptomycin | ||||||
| amikacin | ||||||
| tsnR | 1853974 | c.369C>T | synonymous_variant | 0.98 | linezolid | Not assoc w R |
| tsnR | 1854045 | p.Tyr147Cys | missense_variant | 0.47 | 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 | 0.99 | kanamycin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| streptomycin | Not assoc w R | |||||
| amikacin | Not assoc w R | |||||
| ndh | 2102240 | p.Arg268His | missense_variant | 0.38 | isoniazid | Not assoc w R - Interim |
| delamanid | Uncertain significance | |||||
| ethionamide | Uncertain significance | |||||
| katG | 2154724 | p.Arg463Leu | missense_variant | 1.0 | isoniazid | Not assoc w R |
| katG | 2155746 | c.366C>T | synonymous_variant | 0.5 | isoniazid | |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 1.0 | pyrazinamide | Not assoc w R |
| PPE35 | 2167983 | p.Gly877Asp | missense_variant | 0.56 | pyrazinamide | Uncertain significance |
| PPE35 | 2168742 | p.Gly624Asp | missense_variant | 0.59 | pyrazinamide | Uncertain significance |
| Rv1979c | 2222308 | p.Asp286Gly | missense_variant | 1.0 | bedaquiline | Not assoc w R - Interim |
| clofazimine | 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 | |||||
| Rv1979c | 2223553 | c.-389C>A | upstream_gene_variant | 0.33 | bedaquiline | Uncertain significance |
| clofazimine | Not assoc w R | |||||
| kasA | 2518132 | c.18C>T | synonymous_variant | 0.98 | isoniazid | |
| ahpC | 2726051 | c.-142G>A | upstream_gene_variant | 1.0 | isoniazid | |
| Rv2681 | 2996912 | c.174C>T | synonymous_variant | 0.46 | capreomycin | Not assoc w R |
| Rv2752c | 3064632 | c.1560C>T | synonymous_variant | 0.5 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| ethambutol | Not assoc w R | |||||
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| Rv3083 | 3448714 | p.Asp71His | missense_variant | 1.0 | ethionamide | Uncertain significance |
| lpqB | 3624486 | p.Asp142Gly | missense_variant | 0.96 | rifampicin | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | rifampicin | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| mtrB | 3626158 | c.456C>T | synonymous_variant | 0.39 | rifampicin | |
| bedaquiline | ||||||
| mtrB | 3626467 | c.147G>A | synonymous_variant | 0.38 | rifampicin | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| clpC1 | 4038328 | p.Glu793Gln | missense_variant | 0.45 | pyrazinamide | Uncertain significance |
| clpC1 | 4040517 | p.Val63Ala | missense_variant | 0.97 | pyrazinamide | Not assoc w R - Interim |
| clpC1 | 4040719 | c.-15A>G | upstream_gene_variant | 0.4 | pyrazinamide | Uncertain significance |
| glpK | 4138377 | p.Val460Ala | missense_variant | 1.0 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| streptomycin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| ethambutol | Not assoc w R | |||||
| embC | 4240671 | p.Thr270Ile | missense_variant | 0.99 | ethambutol | Not assoc w R |
| embC | 4241042 | p.Asn394Asp | missense_variant | 0.97 | ethambutol | Not assoc w R |
| embC | 4242559 | c.2697G>A | synonymous_variant | 0.62 | ethambutol | Not assoc w R - Interim |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embA | 4243848 | p.Val206Met | missense_variant | 0.48 | ethambutol | Not assoc w R |
| embA | 4245670 | p.Ala813Gly | missense_variant | 0.48 | ethambutol | Not assoc w R - Interim |
| embA | 4245969 | p.Pro913Ser | missense_variant | 0.97 | ethambutol | Not assoc w R |
| embB | 4246979 | p.Gly156Cys | missense_variant | 0.56 | ethambutol | Not assoc w R - Interim |
| embB | 4247646 | p.Glu378Ala | missense_variant | 0.92 | ethambutol | Not assoc w R |
| embB | 4249654 | p.His1047Gln | missense_variant | 0.6 | ethambutol | |
| embB | 4249673 | p.Ser1054Pro | missense_variant | 0.53 | ethambutol | Not assoc w R - Interim |
| aftB | 4267960 | p.Val293Met | missense_variant | 0.38 | ethambutol | Uncertain significance |
| ubiA | 4269162 | p.Leu224Phe | missense_variant | 0.39 | ethambutol | Uncertain significance |
| ubiA | 4269387 | p.Glu149Asp | missense_variant | 0.97 | ethambutol | Not assoc w R |
| ubiA | 4269606 | c.228T>C | synonymous_variant | 0.94 | ethambutol | Not assoc w R |
| ethA | 4326148 | c.1326G>T | synonymous_variant | 0.49 | ethionamide | Not assoc w R - Interim |
| ethA | 4326439 | p.Asn345Lys | missense_variant | 0.37 | ethionamide | Uncertain significance |
| ethA | 4328209 | c.-736C>A | upstream_gene_variant | 0.67 | ethionamide | |
| whiB6 | 4338203 | p.Arg107Cys | missense_variant | 0.59 | kanamycin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| amikacin | 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 | 4338603 | c.-82C>T | 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 | 4407588 | c.615A>G | synonymous_variant | 0.98 | streptomycin | Not assoc w R |
| gid | 4407848 | p.Ala119Thr | missense_variant | 0.41 | streptomycin | Uncertain significance |
| gid | 4407873 | c.330G>T | synonymous_variant | 0.97 | streptomycin | Not assoc w R |
| gid | 4407935 | p.Leu90Val | missense_variant | 0.62 | streptomycin | Uncertain significance |
| gid | 4407944 | p.Gln87Glu | missense_variant | 0.65 | streptomycin | Uncertain significance |