Run ID: ERR6358869
Sample name:
Date: 2024-04-15T21:43:15.164249
Number of reads: 3205538
Percentage reads mapped: 99.61
Median coverage: 92.0
Strain: lineage4.6.1.1
Spoligotype:
Drug-resistance: MDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage4.6 | Euro-American | None | 1.0 |
| lineage4 | Euro-American | None | 1.0 |
| lineage4.6.1.1 | Euro-American | RD724 | 1.0 |
| lineage4.6.1 | Euro-American (Uganda) | RD724 | 1.0 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Ser450Leu | Assoc w R | |
| isoniazid | katG | p.Gln525Pro | Uncertain significance | Mutation from literature |
| c.643delG | Assoc w R | High-level resistance | ||
| ahpC | c.-52C>T | Uncertain significance | Mutation from literature | |
| ethambutol | ||||
| pyrazinamide | pncA | c.446dupA | Assoc w R | |
| p.His137Pro | Assoc w R - Interim | |||
| p.Leu4Ser | Assoc w R | |||
| streptomycin | ||||
| 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 | 1.0 | rifampicin | Assoc w R | |
| katG | 2154538 | p.Gln525Pro | missense_variant | 0.11 | isoniazid | Uncertain significance | Mutation from literature |
| katG | 2155468 | c.643delG | frameshift_variant | 0.12 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2288795 | c.446dupA | frameshift_variant | 0.14 | pyrazinamide | Assoc w R | |
| pncA | 2288832 | p.His137Pro | missense_variant | 0.14 | pyrazinamide | Assoc w R - Interim | |
| pncA | 2289231 | p.Leu4Ser | missense_variant | 0.16 | pyrazinamide | Assoc w R | |
| ahpC | 2726141 | c.-52C>T | upstream_gene_variant | 1.0 | isoniazid | 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 | 7539 | p.Thr80Ala | missense_variant | 0.99 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R - Interim | |||||
| 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 | |||||
| hadA | 732265 | c.336G>A | synonymous_variant | 1.0 | isoniazid | Not assoc w R - Interim |
| rpoC | 767123 | p.Val1252Leu | missense_variant | 1.0 | rifampicin | Uncertain significance |
| mmpL5 | 775639 | p.Ile948Val | missense_variant | 1.0 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| Rv1129c | 1253754 | p.Thr261Pro | missense_variant | 1.0 | moxifloxacin | Uncertain significance |
| levofloxacin | Uncertain significance | |||||
| rifampicin | Uncertain significance | |||||
| isoniazid | Uncertain significance | |||||
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | streptomycin | |
| kanamycin | ||||||
| capreomycin | ||||||
| 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 |
| katG | 2154681 | p.Trp477Tyr | missense_variant | 1.0 | isoniazid | |
| katG | 2156100 | c.12A>G | synonymous_variant | 0.28 | isoniazid | Not assoc w R - Interim |
| katG | 2156110 | p.Val1Gly | missense_variant | 0.14 | isoniazid | |
| Rv1979c | 2222522 | p.Lys215Glu | missense_variant | 1.0 | clofazimine | |
| bedaquiline | ||||||
| Rv1979c | 2223293 | c.-129A>G | upstream_gene_variant | 1.0 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| folC | 2747481 | p.Glu40Lys | missense_variant | 1.0 | para-aminosalicylic_acid | |
| Rv2681 | 2996876 | c.138A>C | synonymous_variant | 1.0 | capreomycin | Not assoc w R |
| Rv2752c | 3065587 | p.Asp202Ala | missense_variant | 0.99 | ethambutol | Uncertain significance |
| moxifloxacin | Uncertain significance | |||||
| levofloxacin | Uncertain significance | |||||
| rifampicin | Uncertain significance | |||||
| isoniazid | Uncertain significance | |||||
| thyA | 3074495 | c.-24C>T | upstream_gene_variant | 1.0 | para-aminosalicylic_acid | |
| whiB7 | 3569029 | c.-350A>G | upstream_gene_variant | 0.99 | streptomycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| kanamycin | Not assoc w R | |||||
| glpK | 4139670 | p.Cys29Tyr | missense_variant | 1.0 | ethambutol | Uncertain significance |
| moxifloxacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| levofloxacin | Not assoc w R | |||||
| rifampicin | Uncertain significance | |||||
| isoniazid | Uncertain significance | |||||
| glpK | 4139859 | c.-104C>T | upstream_gene_variant | 1.0 | ethambutol | |
| moxifloxacin | ||||||
| streptomycin | ||||||
| levofloxacin | ||||||
| rifampicin | ||||||
| isoniazid | ||||||
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embA | 4243201 | c.-31delC | upstream_gene_variant | 1.0 | ethambutol | Uncertain significance |
| embA | 4245184 | p.Leu651Arg | missense_variant | 1.0 | ethambutol | |
| ethA | 4328329 | c.-856C>G | upstream_gene_variant | 1.0 | ethionamide | |
| whiB6 | 4338378 | c.141_143delCGA | disruptive_inframe_deletion | 1.0 | capreomycin | |
| amikacin | ||||||
| kanamycin | ||||||
| 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 | 4408009 | p.Val65Gly | missense_variant | 1.0 | streptomycin | Uncertain significance |