Run ID: SRR1163446
Sample name:
Date: 2024-10-03T22:29:14.110288
Number of reads: 6930283
Percentage reads mapped: 99.41
Median coverage: 146.0
Strain: lineage2.2.1;lineage4.1.2.1
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage2 | East-Asian | RD105 | 0.49 |
| lineage4.1 | Euro-American | None | 0.52 |
| lineage4.1.2 | Euro-American | None | 0.52 |
| lineage4.1.2.1 | Euro-American (Haarlem) | RD182 | 0.48 |
| lineage2.2.1 | East-Asian (Beijing) | RD105;RD207;RD181 | 0.51 |
| lineage2.2 | East-Asian (Beijing) | RD105;RD207 | 0.5 |
| lineage4 | Euro-American | None | 0.49 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Asp435Tyr | Assoc w R | |
| p.Ser450Leu | Assoc w R | |||
| isoniazid | inhA | c.-777C>T | Assoc w R | Alias fabG1_c.-15C>T. Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) |
| katG | p.Ser315Thr | Assoc w R | High-level resistance | |
| ethambutol | embB | p.Gly406Asp | Assoc w R | |
| p.Gln497Arg | Assoc w R | |||
| pyrazinamide | pncA | p.Thr76Pro | Assoc w R | |
| c.-5_7delGACGTATGCGGG | Assoc w R | |||
| streptomycin | rpsL | p.Lys88Arg | Assoc w R | |
| fluoroquinolones | ||||
| moxifloxacin | gyrA | p.Asp94Gly | Assoc w R | High-level resistance |
| ofloxacin | ||||
| levofloxacin | gyrA | p.Asp94Gly | 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 | inhA | c.-777C>T | Assoc w R | Alias fabG1_c.-15C>T |
| ethA | p.Tyr147* | Assoc w R | ||
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7582 | p.Asp94Gly | missense_variant | 0.11 | levofloxacin | Assoc w R | |
| moxifloxacin | Assoc w R | High-level resistance | |||||
| rpoB | 761109 | p.Asp435Tyr | missense_variant | 0.34 | rifampicin | Assoc w R | |
| rpoB | 761155 | p.Ser450Leu | missense_variant | 0.57 | rifampicin | Assoc w R | |
| rpsL | 781822 | p.Lys88Arg | missense_variant | 0.49 | streptomycin | Assoc w R | |
| rrs | 1473246 | n.1401A>G | non_coding_transcript_exon_variant | 0.93 | amikacin | Assoc w R | |
| capreomycin | Assoc w R | ||||||
| kanamycin | Assoc w R | ||||||
| inhA | 1673425 | c.-777C>T | upstream_gene_variant | 0.57 | ethionamide | Assoc w R | Alias fabG1_c.-15C>T |
| isoniazid | Assoc w R | Alias fabG1_c.-15C>T. Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) | |||||
| katG | 2155168 | p.Ser315Thr | missense_variant | 1.0 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2289016 | p.Thr76Pro | missense_variant | 0.43 | pyrazinamide | Assoc w R | |
| pncA | 2289234 | c.-5_7delGACGTATGCGGG | frameshift_variant&start_lost | 0.51 | pyrazinamide | Assoc w R | |
| embB | 4247730 | p.Gly406Asp | missense_variant | 0.37 | ethambutol | Assoc w R | |
| embB | 4248003 | p.Gln497Arg | missense_variant | 0.46 | ethambutol | Assoc w R | |
| ethA | 4327033 | p.Tyr147* | stop_gained | 0.37 | ethionamide | 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 | 9304 | p.Gly668Asp | missense_variant | 1.0 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| fgd1 | 491591 | p.Lys270Met | missense_variant | 0.57 | pretomanid | |
| delamanid | Uncertain significance | |||||
| clofazimine | Not assoc w R | |||||
| fgd1 | 491742 | c.960T>C | synonymous_variant | 0.5 | pretomanid | |
| delamanid | Not assoc w R - Interim | |||||
| clofazimine | Not assoc w R | |||||
| mshA | 575679 | p.Asn111Ser | missense_variant | 0.5 | isoniazid | Not assoc w R |
| ethionamide | Not assoc w R | |||||
| mshA | 575907 | p.Ala187Val | missense_variant | 0.42 | isoniazid | Not assoc w R |
| ethionamide | Not assoc w R | |||||
| ccsA | 620625 | p.Ile245Met | missense_variant | 0.57 | kanamycin | Uncertain significance |
| capreomycin | Not assoc w R | |||||
| amikacin | Not assoc w R | |||||
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 0.46 | ethionamide | Not assoc w R - Interim |
| Rv0565c | 657142 | p.Arg110His | missense_variant | 0.45 | ethionamide | Uncertain significance |
| Rv0565c | 657269 | p.Ser68Pro | missense_variant | 0.5 | ethionamide | Uncertain significance |
| rpoB | 760106 | c.300G>A | synonymous_variant | 0.59 | rifampicin | Not assoc w R |
| rpoB | 760115 | c.309C>T | synonymous_variant | 0.58 | rifampicin | Not assoc w R |
| rpoB | 760320 | p.Gln172Lys | missense_variant | 0.53 | rifampicin | Uncertain significance |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 0.48 | rifampicin | Not assoc w R |
| rpoC | 764817 | p.Val483Ala | missense_variant | 0.48 | rifampicin | Uncertain significance |
| rpoC | 764923 | p.Glu518Asp | missense_variant | 0.14 | rifampicin | Uncertain significance |
| rpoC | 765150 | p.Gly594Glu | missense_variant | 0.47 | 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 | 0.48 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| mmpL5 | 776182 | p.Asp767Asn | missense_variant | 0.44 | bedaquiline | Not assoc w R |
| clofazimine | Not assoc w R | |||||
| mmpS5 | 779615 | c.-710C>G | upstream_gene_variant | 0.57 | bedaquiline | |
| clofazimine | ||||||
| rpsL | 781276 | c.-284A>C | upstream_gene_variant | 0.46 | streptomycin | |
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 0.46 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| Rv1129c | 1254583 | c.-49A>C | upstream_gene_variant | 0.61 | levofloxacin | Uncertain significance |
| moxifloxacin | Uncertain significance | |||||
| isoniazid | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| Rv1258c | 1406760 | c.580_581insC | frameshift_variant | 0.46 | 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 | 0.61 | 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 | 2154724 | p.Arg463Leu | missense_variant | 0.52 | isoniazid | Not assoc w R |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 0.56 | pyrazinamide | Not assoc w R |
| PPE35 | 2169016 | p.Thr533Ala | missense_variant | 0.41 | pyrazinamide | Uncertain significance |
| 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 | 0.49 | isoniazid | |
| folC | 2746747 | c.852G>C | synonymous_variant | 0.5 | para-aminosalicylic_acid | |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| Rv3236c | 3612813 | p.Thr102Ala | missense_variant | 0.48 | pyrazinamide | Not assoc w R - Interim |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | rifampicin | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| mtrB | 3626562 | p.Pro18Ser | missense_variant | 0.53 | rifampicin | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| embC | 4239298 | c.-565C>T | upstream_gene_variant | 0.57 | 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 | 0.5 | ethambutol | Not assoc w R |
| embA | 4243460 | c.228C>T | synonymous_variant | 0.46 | ethambutol | Not assoc w R |
| embB | 4248706 | c.2193G>A | synonymous_variant | 0.43 | ethambutol | Not assoc w R - Interim |
| aftB | 4267647 | p.Asp397Gly | missense_variant | 0.5 | ethambutol | Not assoc w R |
| ethA | 4326864 | p.Met204Val | missense_variant | 0.54 | ethionamide | Uncertain significance |
| whiB6 | 4338513 | c.9C>T | synonymous_variant | 0.45 | kanamycin | Not assoc w R - Interim |
| capreomycin | Not assoc w R - Interim | |||||
| amikacin | 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 | 0.99 | kanamycin | |
| capreomycin | ||||||
| amikacin | ||||||
| gid | 4407588 | c.615A>G | synonymous_variant | 0.46 | streptomycin | Not assoc w R |
| gid | 4407927 | p.Glu92Asp | missense_variant | 0.58 | streptomycin | Not assoc w R |