Run ID: ERR4827858
Sample name:
Date: 2024-10-04T03:45:24.748189
Number of reads: 5814783
Percentage reads mapped: 99.55
Median coverage: 171.0
Strain: lineage2.2.1;lineage4.3.3
Spoligotype:
Drug-resistance: MDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage4.3 | Euro-American (LAM) | None | 0.82 |
| lineage2 | East-Asian | RD105 | 0.15 |
| lineage2.2.1 | East-Asian (Beijing) | RD105;RD207;RD181 | 0.15 |
| lineage2.2 | East-Asian (Beijing) | RD105;RD207 | 0.16 |
| lineage4 | Euro-American | None | 0.83 |
| lineage4.3.3 | Euro-American (LAM) | RD115 | 0.83 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Ser450Leu | Assoc w R | |
| isoniazid | katG | p.Ser315Thr | Assoc w R | High-level resistance |
| ethambutol | embB | p.Met306Ile | Assoc w R | |
| pyrazinamide | pncA | p.Gly97Cys | Assoc w R | |
| streptomycin | rpsL | p.Lys43Arg | Assoc w R | |
| fluoroquinolones | ||||
| moxifloxacin | ||||
| ofloxacin | ||||
| levofloxacin | ||||
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | ||||
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| rpoB | 761155 | p.Ser450Leu | missense_variant | 0.23 | rifampicin | Assoc w R | |
| rpsL | 781687 | p.Lys43Arg | missense_variant | 0.1 | streptomycin | Assoc w R | |
| katG | 2155168 | p.Ser315Thr | missense_variant | 0.16 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2288953 | p.Gly97Cys | missense_variant | 0.16 | pyrazinamide | Assoc w R | |
| embB | 4247431 | p.Met306Ile | missense_variant | 0.23 | 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 | 0.85 | 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 | 0.17 | pretomanid | |
| delamanid | Not assoc w R - Interim | |||||
| clofazimine | Not assoc w R | |||||
| mshA | 575907 | p.Ala187Val | missense_variant | 0.14 | isoniazid | Not assoc w R |
| ethionamide | Not assoc w R | |||||
| ccsA | 620625 | p.Ile245Met | missense_variant | 0.12 | kanamycin | Uncertain significance |
| capreomycin | Not assoc w R | |||||
| amikacin | Not assoc w R | |||||
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 0.22 | ethionamide | Not assoc w R - Interim |
| Rv0565c | 657142 | p.Arg110His | missense_variant | 0.15 | ethionamide | Uncertain significance |
| rpoB | 761998 | p.Leu731Pro | missense_variant | 0.15 | rifampicin | Uncertain significance |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 0.15 | rifampicin | Not assoc w R |
| rpoC | 764995 | c.1626C>G | synonymous_variant | 0.84 | 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 | 0.24 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| mmpL5 | 776182 | p.Asp767Asn | missense_variant | 0.2 | bedaquiline | Not assoc w R |
| clofazimine | Not assoc w R | |||||
| mmpS5 | 779615 | c.-710C>G | upstream_gene_variant | 0.14 | bedaquiline | |
| clofazimine | ||||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 0.2 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| fbiC | 1303095 | c.165G>A | synonymous_variant | 0.78 | pretomanid | |
| delamanid | Not assoc w R - Interim | |||||
| clofazimine | Not assoc w R - Interim | |||||
| fbiC | 1304962 | p.Trp678Gly | missense_variant | 0.85 | pretomanid | |
| delamanid | Uncertain significance | |||||
| clofazimine | Uncertain significance | |||||
| sigE | 1364339 | c.-74A>G | upstream_gene_variant | 0.8 | pyrazinamide | |
| Rv1258c | 1406760 | c.580_581insC | frameshift_variant | 0.17 | streptomycin | Uncertain significance |
| pyrazinamide | Uncertain significance | |||||
| isoniazid | Uncertain significance | |||||
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | kanamycin | |
| capreomycin | ||||||
| streptomycin | ||||||
| amikacin | ||||||
| rpsA | 1834177 | c.636A>C | synonymous_variant | 0.2 | pyrazinamide | Not assoc w R - Interim |
| rpsA | 1834836 | p.Met432Thr | missense_variant | 0.81 | 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 |
| katG | 2153917 | p.Met732Thr | missense_variant | 0.79 | isoniazid | |
| katG | 2154724 | p.Arg463Leu | missense_variant | 0.14 | isoniazid | Not assoc w R |
| katG | 2156196 | c.-85C>T | upstream_gene_variant | 0.84 | isoniazid | Not assoc w R |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 0.15 | 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 | |||||
| kasA | 2518919 | p.Gly269Ser | missense_variant | 0.82 | isoniazid | |
| folC | 2746340 | p.Ala420Val | missense_variant | 0.83 | para-aminosalicylic_acid | |
| thyA | 3073868 | p.Thr202Ala | missense_variant | 0.79 | para-aminosalicylic_acid | |
| ald | 3086731 | c.-89A>G | upstream_gene_variant | 0.13 | cycloserine | |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| Rv3236c | 3612813 | p.Thr102Ala | missense_variant | 0.16 | pyrazinamide | Not assoc w R - Interim |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | rifampicin | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| fbiA | 3640321 | c.-222T>A | upstream_gene_variant | 0.22 | pretomanid | |
| delamanid | ||||||
| clofazimine | ||||||
| clpC1 | 4038287 | c.2418C>T | synonymous_variant | 0.79 | pyrazinamide | Not assoc w R |
| clpC1 | 4038968 | c.1737G>A | synonymous_variant | 0.82 | pyrazinamide | Not assoc w R - Interim |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embA | 4243346 | c.114A>G | synonymous_variant | 0.21 | ethambutol | Not assoc w R - Interim |
| embA | 4243460 | c.228C>T | synonymous_variant | 0.18 | ethambutol | Not assoc w R |
| aftB | 4267647 | p.Asp397Gly | missense_variant | 0.19 | ethambutol | Not assoc w R |
| whiB6 | 4338371 | p.Thr51Pro | missense_variant | 0.12 | kanamycin | Uncertain significance |
| 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 | 4338732 | c.-211C>T | upstream_gene_variant | 1.0 | kanamycin | |
| capreomycin | ||||||
| amikacin | ||||||
| gid | 4407588 | c.615A>G | synonymous_variant | 0.14 | streptomycin | Not assoc w R |
| gid | 4407927 | p.Glu92Asp | missense_variant | 0.14 | streptomycin | Not assoc w R |
| gid | 4408156 | p.Leu16Arg | missense_variant | 0.91 | streptomycin | Not assoc w R |