Run ID: ERR4813822
Sample name:
Date: 2024-10-03T15:35:28.577471
Number of reads: 2950269
Percentage reads mapped: 99.63
Median coverage: 89.0
Strain: lineage4.1.2.1;lineage4.3.4
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage4.3 | Euro-American (LAM) | None | 0.07 |
| lineage4.1 | Euro-American | None | 0.91 |
| lineage4.1.2 | Euro-American | None | 0.88 |
| lineage4.1.2.1 | Euro-American (Haarlem) | RD182 | 0.89 |
| lineage4 | Euro-American | None | 1.0 |
| lineage4.3.4 | Euro-American (LAM) | RD174 | 0.12 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Ser450Leu | Assoc w R | |
| isoniazid | katG | c.1338_1339dupCC | Assoc w R | High-level resistance |
| c.1327_1328delCC | Assoc w R | High-level resistance | ||
| ahpC | c.-54C>T | Uncertain significance | Mutation from literature | |
| ethambutol | ||||
| pyrazinamide | ||||
| streptomycin | ||||
| fluoroquinolones | ||||
| moxifloxacin | gyrA | p.Asp94His | Assoc w R | High-level resistance |
| ofloxacin | ||||
| levofloxacin | gyrA | p.Asp94His | Assoc w R | |
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | rrs | n.1401A>G | Assoc w R | |
| capreomycin | rrs | n.1401A>G | Assoc w R | |
| kanamycin | rrs | n.1401A>G | Assoc w R | |
| cycloserine | ||||
| ethionamide | ||||
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7581 | p.Asp94His | missense_variant | 0.82 | levofloxacin | Assoc w R | |
| moxifloxacin | Assoc w R | High-level resistance | |||||
| rpoB | 761155 | p.Ser450Leu | missense_variant | 0.9 | rifampicin | Assoc w R | |
| rrs | 1473246 | n.1401A>G | non_coding_transcript_exon_variant | 1.0 | amikacin | Assoc w R | |
| capreomycin | Assoc w R | ||||||
| kanamycin | Assoc w R | ||||||
| katG | 2154772 | c.1338_1339dupCC | frameshift_variant | 0.78 | isoniazid | Assoc w R | High-level resistance |
| katG | 2154783 | c.1327_1328delCC | frameshift_variant | 0.91 | isoniazid | Assoc w R | High-level resistance |
| ahpC | 2726139 | c.-54C>T | upstream_gene_variant | 0.31 | isoniazid | Uncertain significance | Mutation from literature |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence |
|---|---|---|---|---|---|---|
| gyrB | 5076 | c.-164_-163insTC | upstream_gene_variant | 0.9 | levofloxacin | |
| moxifloxacin | ||||||
| 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 | |||||
| fgd1 | 491591 | p.Lys270Met | missense_variant | 0.86 | pretomanid | |
| delamanid | Uncertain significance | |||||
| clofazimine | Not assoc w R | |||||
| mshA | 575679 | p.Asn111Ser | missense_variant | 0.93 | isoniazid | Not assoc w R |
| ethionamide | Not assoc w R | |||||
| Rv0565c | 657269 | p.Ser68Pro | missense_variant | 0.91 | ethionamide | Uncertain significance |
| rpoB | 760115 | c.309C>T | synonymous_variant | 0.92 | rifampicin | Not assoc w R |
| rpoC | 764521 | c.1152T>C | synonymous_variant | 0.9 | rifampicin | Not assoc w R - Interim |
| rpoC | 764995 | c.1626C>G | synonymous_variant | 0.11 | rifampicin | Not assoc w R |
| rpoC | 765150 | p.Gly594Glu | missense_variant | 0.9 | rifampicin | Not assoc w R |
| mmpL5 | 775639 | p.Ile948Val | missense_variant | 1.0 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| rpsL | 781276 | c.-284A>C | upstream_gene_variant | 0.9 | streptomycin | |
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | kanamycin | |
| capreomycin | ||||||
| streptomycin | ||||||
| amikacin | ||||||
| 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 | 2223293 | c.-129A>G | upstream_gene_variant | 1.0 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| kasA | 2518076 | c.-39C>T | upstream_gene_variant | 0.92 | isoniazid | |
| Rv2680 | 2996085 | c.-20G>A | upstream_gene_variant | 0.14 | capreomycin | Uncertain significance |
| Rv2680 | 2996136 | p.Ser11Asn | missense_variant | 0.22 | capreomycin | |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| ald | 3087630 | p.Gln271Glu | missense_variant | 0.23 | cycloserine | |
| ald | 3087648 | c.830_831dupGC | frameshift_variant | 0.6 | cycloserine | |
| Rv3236c | 3612009 | p.Ala370Thr | missense_variant | 0.14 | pyrazinamide | Not assoc w R |
| Rv3236c | 3612847 | c.270G>A | synonymous_variant | 0.91 | pyrazinamide | Not assoc w R - Interim |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | rifampicin | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| clpC1 | 4038287 | c.2418C>T | synonymous_variant | 0.12 | pyrazinamide | Not assoc w R |
| embC | 4239298 | c.-565C>T | upstream_gene_variant | 0.86 | ethambutol | Not assoc w R |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embC | 4242803 | p.Val981Leu | missense_variant | 0.93 | ethambutol | Not assoc w R |
| embA | 4243225 | c.-8C>A | upstream_gene_variant | 0.87 | ethambutol | Uncertain significance |
| embB | 4248880 | c.2367G>T | synonymous_variant | 0.9 | ethambutol | Not assoc w R - Interim |
| 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 | 0.12 | streptomycin | Not assoc w R |