Run ID: ERR3014590
Sample name:
Date: 2025-09-15T14:16:48.208636
Number of reads: 2287229
Percentage reads mapped: 87.47
Median coverage: 41.0
Strain: lineage4.8
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage4 | Euro-American | None | 100.0 |
| lineage4.8 | Euro-American (mainly T) | RD219 | 100.0 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Asp435Val | Assoc w R | |
| isoniazid | katG | p.Ser315Thr | Assoc w R | High-level resistance |
| p.Thr275Ala | Uncertain significance | Mutation from literature | ||
| ethambutol | embB | p.Met306Ile | Assoc w R | |
| p.Asp1024Asn | Uncertain significance | Mutation from literature | ||
| pyrazinamide | pncA | c.390_391dupGG | Assoc w R | |
| 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 | tlyA | c.412_413dupGG | Assoc w R | |
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | ||||
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7572 | p.Ser91Pro | missense_variant | 1.0 | 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 | 1.0 | rifampicin | Assoc w R | |
| rrs | 1472362 | n.517C>T | non_coding_transcript_exon_variant | 0.94 | streptomycin | Assoc w R | |
| tlyA | 1918350 | c.412_413dupGG | frameshift_variant | 1.0 | capreomycin | Assoc w R | |
| katG | 2155168 | p.Ser315Thr | missense_variant | 1.0 | isoniazid | Assoc w R | High-level resistance |
| katG | 2155289 | p.Thr275Ala | missense_variant | 1.0 | isoniazid | Uncertain significance | Mutation from literature |
| pncA | 2288850 | c.390_391dupGG | frameshift_variant | 0.48 | pyrazinamide | Assoc w R | |
| embB | 4247431 | p.Met306Ile | missense_variant | 1.0 | ethambutol | Assoc w R | |
| embB | 4249583 | p.Asp1024Asn | missense_variant | 1.0 | ethambutol | 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 | 8602 | p.Ala434Glu | missense_variant | 1.0 | levofloxacin | Uncertain significance |
| moxifloxacin | Uncertain significance | |||||
| Rv0565c | 657377 | p.Asn32His | missense_variant | 1.0 | ethionamide | Uncertain significance |
| 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 |
| Rv1258c | 1406343 | p.Asn333Thr | missense_variant | 1.0 | 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 | |||||
| rrs | 1472094 | n.249T>A | non_coding_transcript_exon_variant | 0.13 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472106 | n.261G>A | non_coding_transcript_exon_variant | 0.15 | amikacin | Not assoc w R |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472127 | n.282C>T | non_coding_transcript_exon_variant | 0.19 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472129 | n.284G>C | non_coding_transcript_exon_variant | 0.19 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472137 | n.292G>A | non_coding_transcript_exon_variant | 0.24 | amikacin | Not assoc w R |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472150 | n.305T>A | non_coding_transcript_exon_variant | 0.24 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472151 | n.306C>T | non_coding_transcript_exon_variant | 0.24 | amikacin | Not assoc w R |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472172 | n.327T>C | non_coding_transcript_exon_variant | 0.28 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472557 | n.712G>A | non_coding_transcript_exon_variant | 0.26 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472571 | n.726G>C | non_coding_transcript_exon_variant | 0.27 | amikacin | Not assoc w R |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472573 | n.728C>T | non_coding_transcript_exon_variant | 0.26 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472574 | n.729T>C | non_coding_transcript_exon_variant | 0.26 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472579 | n.734G>C | non_coding_transcript_exon_variant | 0.26 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472581 | n.736A>T | non_coding_transcript_exon_variant | 0.26 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472598 | n.753A>C | non_coding_transcript_exon_variant | 0.36 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472616 | n.771G>A | non_coding_transcript_exon_variant | 0.28 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472744 | n.899A>G | non_coding_transcript_exon_variant | 0.19 | amikacin | Not assoc w R |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472781 | n.936C>T | non_coding_transcript_exon_variant | 0.19 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1472793 | n.948A>T | non_coding_transcript_exon_variant | 0.18 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrl | 1474001 | n.344C>T | non_coding_transcript_exon_variant | 1.0 | capreomycin | Not assoc w R |
| linezolid | Not assoc w R | |||||
| rrl | 1476260 | n.2603A>G | non_coding_transcript_exon_variant | 0.15 | capreomycin | Not assoc w R |
| linezolid | Uncertain significance | |||||
| rrl | 1476311 | n.2654G>C | non_coding_transcript_exon_variant | 0.19 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476312 | n.2655T>C | non_coding_transcript_exon_variant | 0.19 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476313 | n.2656G>A | non_coding_transcript_exon_variant | 0.19 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476332 | n.2675G>C | non_coding_transcript_exon_variant | 0.27 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476353 | n.2696G>T | non_coding_transcript_exon_variant | 0.35 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476358 | n.2701T>C | non_coding_transcript_exon_variant | 0.36 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476372 | n.2715T>C | non_coding_transcript_exon_variant | 0.32 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476382 | n.2725A>G | non_coding_transcript_exon_variant | 0.34 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476383 | n.2726T>A | non_coding_transcript_exon_variant | 0.35 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476408 | n.2751G>A | non_coding_transcript_exon_variant | 0.36 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476425 | n.2768G>T | non_coding_transcript_exon_variant | 0.37 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476428 | n.2771C>T | non_coding_transcript_exon_variant | 0.38 | capreomycin | Not assoc w R |
| linezolid | Uncertain significance | |||||
| rrl | 1476429 | n.2772A>C | non_coding_transcript_exon_variant | 0.38 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476466 | n.2809C>T | non_coding_transcript_exon_variant | 0.27 | capreomycin | Not assoc w R |
| linezolid | Uncertain significance | |||||
| rrl | 1476481 | n.2824T>C | non_coding_transcript_exon_variant | 0.24 | capreomycin | Not assoc w R |
| linezolid | Uncertain significance | |||||
| inhA | 1673496 | c.-706G>A | upstream_gene_variant | 1.0 | ethionamide | Uncertain significance |
| isoniazid | Uncertain significance | |||||
| tlyA | 1917972 | c.33A>G | synonymous_variant | 1.0 | capreomycin | Not assoc w R |
| PPE35 | 2168149 | p.Pro822Ser | missense_variant | 1.0 | pyrazinamide | 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 | |||||
| folC | 2747420 | p.Pro60Leu | missense_variant | 1.0 | para-aminosalicylic_acid | Uncertain significance |
| folC | 2747480 | p.Glu40Ala | missense_variant | 1.0 | para-aminosalicylic_acid | Uncertain significance |
| Rv2680 | 2995848 | c.-257G>A | upstream_gene_variant | 1.0 | capreomycin | Uncertain significance |
| thyA | 3074236 | p.Ile79Thr | missense_variant | 1.0 | para-aminosalicylic_acid | Uncertain significance |
| ald | 3087251 | c.434dupG | frameshift_variant | 0.97 | cycloserine | Uncertain significance |
| Rv3083 | 3448507 | c.5_*1407del | frameshift_variant&stop_lost&splice_region_variant | 1.0 | ethionamide | Uncertain significance |
| alr | 3840952 | p.Lys133Glu | missense_variant | 1.0 | cycloserine | Uncertain significance |
| clpC1 | 4038496 | p.Arg737Trp | missense_variant | 1.0 | pyrazinamide | Uncertain significance |
| clpC1 | 4040982 | c.-278G>A | upstream_gene_variant | 1.0 | pyrazinamide | Uncertain significance |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| ethA | 4326111 | p.Trp455Arg | missense_variant | 1.0 | ethionamide | Uncertain significance |
| ethA | 4327326 | p.Tyr50Asn | missense_variant | 1.0 | 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 |