Run ID: ERR4799994
Sample name:
Date: 2024-04-16T02:28:23.119991
Number of reads: 4595950
Percentage reads mapped: 99.58
Median coverage: 120.0
Strain: lineage3.1.2;lineage4.3.3
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage3 | East-African-Indian | RD750 | 0.39 |
| lineage4.3 | Euro-American (LAM) | None | 0.55 |
| lineage3.1.2 | East-African-Indian | RD750 | 0.41 |
| lineage4 | Euro-American | None | 0.57 |
| lineage4.3.3 | Euro-American (LAM) | RD115 | 0.54 |
| lineage3.1 | East-African-Indian | RD750 | 0.35 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Ser450Trp | Assoc w R | |
| isoniazid | katG | p.Ser315Thr | Assoc w R | High-level resistance |
| ethambutol | embB | p.Met306Ile | Assoc w R | |
| pyrazinamide | pncA | c.521_522insT | Assoc w R | |
| streptomycin | rpsL | p.Lys43Arg | Assoc w R | |
| fluoroquinolones | ||||
| moxifloxacin | gyrA | p.Asp94Asn | Assoc w R | High-level resistance |
| ofloxacin | ||||
| levofloxacin | gyrA | p.Asp94Asn | Assoc w R | |
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | ||||
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7581 | p.Asp94Asn | missense_variant | 0.39 | moxifloxacin | Assoc w R | High-level resistance |
| levofloxacin | Assoc w R | ||||||
| rpoB | 761155 | p.Ser450Trp | missense_variant | 0.44 | rifampicin | Assoc w R | |
| rpsL | 781687 | p.Lys43Arg | missense_variant | 0.45 | streptomycin | Assoc w R | |
| katG | 2155168 | p.Ser315Thr | missense_variant | 0.49 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2288720 | c.521_522insT | frameshift_variant | 0.43 | pyrazinamide | Assoc w R | |
| embB | 4247431 | p.Met306Ile | missense_variant | 0.4 | 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 | 8040 | p.Gly247Ser | missense_variant | 0.54 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 9304 | p.Gly668Asp | missense_variant | 0.99 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 9758 | c.2457C>T | synonymous_variant | 0.43 | levofloxacin | Not assoc w R - Interim |
| moxifloxacin | Not assoc w R - Interim | |||||
| Rv0010c | 13605 | c.-47G>T | upstream_gene_variant | 0.42 | isoniazid | Uncertain significance |
| fgd1 | 491742 | c.960T>C | synonymous_variant | 0.55 | clofazimine | Not assoc w R |
| pretomanid | ||||||
| delamanid | Not assoc w R - Interim | |||||
| ccsA | 620079 | c.189C>T | synonymous_variant | 0.37 | capreomycin | Not assoc w R - Interim |
| amikacin | Not assoc w R - Interim | |||||
| kanamycin | Not assoc w R - Interim | |||||
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 0.45 | ethionamide | Not assoc w R - Interim |
| rpoB | 759746 | c.-61C>T | upstream_gene_variant | 0.44 | rifampicin | Not assoc w R |
| rpoB | 762434 | c.2628T>G | synonymous_variant | 0.33 | rifampicin | Not assoc w R |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 0.35 | rifampicin | Not assoc w R |
| rpoC | 764995 | c.1626C>G | synonymous_variant | 0.55 | rifampicin | Not assoc w R |
| mmpL5 | 775639 | p.Ile948Val | missense_variant | 1.0 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| mmpL5 | 776100 | p.Thr794Ile | missense_variant | 0.35 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 0.99 | streptomycin | Not assoc w R |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 0.42 | moxifloxacin | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | streptomycin | |
| kanamycin | ||||||
| capreomycin | ||||||
| amikacin | ||||||
| rpsA | 1834836 | p.Met432Thr | missense_variant | 0.63 | 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 |
| tlyA | 1918104 | c.165G>A | synonymous_variant | 0.41 | capreomycin | Not assoc w R - Interim |
| katG | 2154724 | p.Arg463Leu | missense_variant | 0.41 | isoniazid | Not assoc w R |
| katG | 2156196 | c.-85C>T | upstream_gene_variant | 0.55 | isoniazid | Not assoc w R |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 0.48 | pyrazinamide | Not assoc w R |
| PPE35 | 2168604 | p.Pro670Leu | missense_variant | 0.51 | pyrazinamide | Not assoc w R |
| Rv1979c | 2223293 | c.-129A>G | upstream_gene_variant | 1.0 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| pncA | 2289047 | c.195C>T | synonymous_variant | 0.38 | pyrazinamide | Not assoc w R |
| pncA | 2289365 | c.-125delC | upstream_gene_variant | 0.43 | pyrazinamide | |
| kasA | 2518919 | p.Gly269Ser | missense_variant | 0.67 | isoniazid | |
| ahpC | 2726105 | c.-88G>A | upstream_gene_variant | 0.54 | isoniazid | Not assoc w R |
| folC | 2746340 | p.Ala420Val | missense_variant | 0.58 | para-aminosalicylic_acid | |
| Rv2477c | 2782498 | c.1545C>T | synonymous_variant | 0.41 | ethambutol | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| streptomycin | Not assoc w R - Interim | |||||
| levofloxacin | Not assoc w R | |||||
| kanamycin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| amikacin | Not assoc w R | |||||
| thyA | 3073868 | p.Thr202Ala | missense_variant | 0.58 | para-aminosalicylic_acid | |
| thyA | 3074247 | p.His75Gln | missense_variant | 0.32 | para-aminosalicylic_acid | |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| clpC1 | 4038287 | c.2418C>T | synonymous_variant | 0.47 | pyrazinamide | Not assoc w R |
| clpC1 | 4040675 | c.30C>G | synonymous_variant | 0.37 | pyrazinamide | Not assoc w R - Interim |
| panD | 4044872 | c.-591C>T | upstream_gene_variant | 0.33 | pyrazinamide | |
| glpK | 4138622 | c.1134C>T | synonymous_variant | 0.42 | ethambutol | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| streptomycin | Not assoc w R - Interim | |||||
| levofloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| embC | 4242075 | p.Arg738Gln | missense_variant | 0.49 | ethambutol | Not assoc w R |
| embC | 4242643 | c.2781C>T | synonymous_variant | 0.99 | ethambutol | Not assoc w R |
| ethA | 4327229 | p.Leu82Arg | missense_variant | 0.65 | ethionamide | Uncertain significance |
| whiB6 | 4338595 | c.-75delG | upstream_gene_variant | 1.0 | capreomycin | Not assoc w R |
| amikacin | Not assoc w R | |||||
| kanamycin | Not assoc w R | |||||
| whiB6 | 4338732 | c.-211C>T | upstream_gene_variant | 1.0 | capreomycin | |
| amikacin | ||||||
| kanamycin | ||||||
| gid | 4407588 | c.615A>G | synonymous_variant | 0.42 | streptomycin | Not assoc w R |
| gid | 4408156 | p.Leu16Arg | missense_variant | 0.54 | streptomycin | Not assoc w R |