Run ID: SRR19428529
Sample name:
Date: 2024-04-16T05:58:48.844740
Number of reads: 1474028
Percentage reads mapped: 99.51
Median coverage: 73.5
Strain: lineage1.1.2;lineage3.1.1;lineage4.2.2.2
Spoligotype:
Drug-resistance: MDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage4.2.2 | Euro-American (Ural) | None | 0.33 |
| lineage3 | East-African-Indian | RD750 | 0.31 |
| lineage1.1.2 | Indo-Oceanic | RD239 | 0.22 |
| lineage3.1.1 | East-African-Indian | RD750 | 0.31 |
| lineage4.2 | Euro-American | None | 0.37 |
| lineage1.1 | Indo-Oceanic | RD239 | 0.24 |
| lineage4 | Euro-American | None | 0.37 |
| lineage1 | Indo-Oceanic | RD239 | 0.24 |
| lineage4.2.2.2 | Euro-American (Ural) | None | 0.39 |
| lineage3.1 | East-African-Indian | RD750 | 0.36 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Gln432Glu | Assoc w R - Interim | Expert rule: Non-silent variants in RRDR of rpoB |
| isoniazid | katG | p.Ser315Thr | Assoc w R | High-level resistance |
| ethambutol | embB | p.Gln497Arg | Assoc w R | |
| pyrazinamide | pncA | p.Glu111* | Assoc w R | |
| streptomycin | rpsL | p.Lys88Met | 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 | 761100 | p.Gln432Glu | missense_variant | 0.3 | rifampicin | Assoc w R - Interim | Expert rule: Non-silent variants in RRDR of rpoB |
| rpsL | 781822 | p.Lys88Met | missense_variant | 0.4 | streptomycin | Assoc w R | |
| katG | 2155168 | p.Ser315Thr | missense_variant | 0.33 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2288911 | p.Glu111* | stop_gained | 0.34 | pyrazinamide | Assoc w R | |
| embB | 4248003 | p.Gln497Arg | missense_variant | 0.27 | ethambutol | Assoc w R |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence |
|---|---|---|---|---|---|---|
| gyrB | 6112 | p.Met291Ile | missense_variant | 0.15 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrB | 6124 | c.885C>T | synonymous_variant | 0.15 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| 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 | 8452 | p.Ala384Val | missense_variant | 0.24 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 8688 | p.Ala463Ser | missense_variant | 0.32 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 9143 | c.1842T>C | synonymous_variant | 0.2 | 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 | |||||
| Rv0010c | 13298 | p.Ile87Met | missense_variant | 0.32 | isoniazid | Not assoc w R |
| Rv0010c | 13304 | c.255G>A | synonymous_variant | 0.13 | isoniazid | Not assoc w R - Interim |
| Rv0010c | 13460 | c.99T>C | synonymous_variant | 0.3 | isoniazid | Not assoc w R |
| fgd1 | 491742 | c.960T>C | synonymous_variant | 0.54 | clofazimine | Not assoc w R |
| pretomanid | ||||||
| delamanid | Not assoc w R - Interim | |||||
| mshA | 576077 | c.730C>T | synonymous_variant | 0.4 | ethionamide | Not assoc w R - Interim |
| isoniazid | Not assoc w R | |||||
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 0.48 | ethionamide | Not assoc w R - Interim |
| Rv0565c | 657425 | p.Gly16Ser | missense_variant | 0.36 | ethionamide | Uncertain significance |
| Rv0565c | 657578 | c.-108T>C | upstream_gene_variant | 0.33 | ethionamide | |
| nusG | 734116 | c.-138T>C | upstream_gene_variant | 0.19 | rifampicin | Not assoc w R |
| rpoB | 759546 | c.-261A>G | upstream_gene_variant | 0.1 | rifampicin | Not assoc w R |
| rpoB | 759746 | c.-61C>T | upstream_gene_variant | 0.31 | rifampicin | Not assoc w R |
| rpoB | 761248 | p.Glu481Ala | missense_variant | 0.35 | rifampicin | Uncertain significance |
| rpoB | 761489 | c.1683G>A | synonymous_variant | 0.33 | rifampicin | Not assoc w R |
| rpoB | 762201 | p.Lys799Gln | missense_variant | 0.13 | rifampicin | Uncertain significance |
| rpoB | 762434 | c.2628T>G | synonymous_variant | 0.33 | rifampicin | Not assoc w R |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 0.62 | rifampicin | Not assoc w R |
| rpoC | 763884 | p.Ala172Val | missense_variant | 0.21 | rifampicin | Not assoc w R |
| rpoC | 763886 | c.517C>A | synonymous_variant | 0.21 | rifampicin | Not assoc w R |
| rpoC | 765171 | p.Pro601Leu | missense_variant | 0.15 | 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 | 0.53 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| mmpR5 | 779303 | p.Arg105His | missense_variant | 0.21 | clofazimine | |
| bedaquiline | ||||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| rplC | 800204 | c.-605T>C | upstream_gene_variant | 0.39 | linezolid | |
| rplC | 800357 | c.-452C>A | upstream_gene_variant | 0.18 | linezolid | Not assoc w R |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 0.73 | moxifloxacin | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| fbiC | 1303051 | p.Val41Met | missense_variant | 0.17 | clofazimine | Uncertain significance |
| pretomanid | ||||||
| delamanid | Uncertain significance | |||||
| Rv1258c | 1406349 | p.Ile331Ser | missense_variant | 0.1 | streptomycin | |
| isoniazid | ||||||
| pyrazinamide | ||||||
| embR | 1417019 | p.Cys110Tyr | missense_variant | 0.22 | ethambutol | Not assoc w R |
| embR | 1417554 | c.-207C>G | upstream_gene_variant | 0.28 | ethambutol | |
| embR | 1417793 | c.-446C>T | upstream_gene_variant | 0.2 | ethambutol | |
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | streptomycin | |
| kanamycin | ||||||
| capreomycin | ||||||
| amikacin | ||||||
| rrl | 1475259 | n.1602T>G | non_coding_transcript_exon_variant | 0.42 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| tsnR | 1853974 | c.369C>T | synonymous_variant | 0.43 | linezolid | Not assoc w R |
| tsnR | 1854045 | p.Tyr147Cys | missense_variant | 0.3 | linezolid | Not assoc w R |
| 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 |
| bacA | 2062922 | p.Ile603Val | missense_variant | 0.2 | streptomycin | Not assoc w R |
| kanamycin | Not assoc w R | |||||
| capreomycin | Not assoc w R | |||||
| amikacin | Not assoc w R | |||||
| bacA | 2063685 | c.1044G>A | synonymous_variant | 0.37 | streptomycin | Not assoc w R - Interim |
| kanamycin | Not assoc w R - Interim | |||||
| capreomycin | Not assoc w R | |||||
| amikacin | Not assoc w R | |||||
| bacA | 2063911 | p.Ile273Thr | missense_variant | 0.4 | streptomycin | Uncertain significance |
| kanamycin | Uncertain significance | |||||
| capreomycin | Not assoc w R | |||||
| amikacin | Not assoc w R | |||||
| katG | 2154724 | p.Arg463Leu | missense_variant | 0.5 | isoniazid | Not assoc w R |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 0.73 | pyrazinamide | Not assoc w R |
| PPE35 | 2167983 | p.Gly877Asp | missense_variant | 0.25 | pyrazinamide | Uncertain significance |
| Rv1979c | 2222308 | p.Asp286Gly | missense_variant | 0.17 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| Rv1979c | 2223136 | p.Ala10Val | missense_variant | 0.15 | clofazimine | Uncertain significance |
| bedaquiline | Uncertain significance | |||||
| 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 | 0.2 | pyrazinamide | Not assoc w R |
| pncA | 2289365 | c.-125delC | upstream_gene_variant | 0.32 | pyrazinamide | |
| kasA | 2518132 | c.18C>T | synonymous_variant | 0.28 | isoniazid | |
| ahpC | 2726051 | c.-142G>A | upstream_gene_variant | 0.18 | isoniazid | |
| ahpC | 2726105 | c.-88G>A | upstream_gene_variant | 0.27 | isoniazid | Not assoc w R |
| ahpC | 2726534 | c.342C>T | synonymous_variant | 0.11 | isoniazid | |
| Rv2477c | 2782498 | c.1545C>T | synonymous_variant | 0.21 | 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 | |||||
| Rv2477c | 2782508 | p.Trp512Ser | missense_variant | 0.21 | ethambutol | Uncertain significance |
| moxifloxacin | ||||||
| streptomycin | Uncertain significance | |||||
| levofloxacin | ||||||
| kanamycin | ||||||
| rifampicin | Uncertain significance | |||||
| amikacin | ||||||
| Rv2681 | 2996912 | c.174C>T | synonymous_variant | 0.16 | capreomycin | Not assoc w R |
| Rv2752c | 3064632 | c.1560C>T | synonymous_variant | 0.37 | ethambutol | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| levofloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| Rv2752c | 3066280 | c.-89C>T | upstream_gene_variant | 0.35 | ethambutol | |
| moxifloxacin | ||||||
| levofloxacin | ||||||
| rifampicin | ||||||
| isoniazid | ||||||
| ald | 3086742 | c.-78A>C | upstream_gene_variant | 0.53 | cycloserine | |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| Rv3083 | 3448714 | p.Asp71His | missense_variant | 0.17 | ethionamide | Uncertain significance |
| lpqB | 3624486 | p.Asp142Gly | missense_variant | 0.15 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| clpC1 | 4040517 | p.Val63Ala | missense_variant | 0.32 | pyrazinamide | Not assoc w R - Interim |
| panD | 4044740 | c.-459C>T | upstream_gene_variant | 0.12 | pyrazinamide | |
| panD | 4044872 | c.-591C>T | upstream_gene_variant | 0.29 | pyrazinamide | |
| glpK | 4138377 | p.Val460Ala | missense_variant | 0.28 | ethambutol | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| streptomycin | Not assoc w R | |||||
| levofloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| glpK | 4138622 | c.1134C>T | synonymous_variant | 0.28 | 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 | 4239593 | c.-270G>A | upstream_gene_variant | 0.14 | ethambutol | Not assoc w R |
| embC | 4240671 | p.Thr270Ile | missense_variant | 0.11 | ethambutol | Not assoc w R |
| embC | 4241042 | p.Asn394Asp | missense_variant | 0.22 | ethambutol | Not assoc w R |
| embC | 4241562 | p.Arg567His | missense_variant | 0.24 | ethambutol | Not assoc w R |
| embC | 4242075 | p.Arg738Gln | missense_variant | 0.36 | ethambutol | Not assoc w R |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embA | 4243848 | p.Val206Met | missense_variant | 0.32 | ethambutol | Not assoc w R |
| embA | 4244167 | p.Ala312Val | missense_variant | 0.22 | ethambutol | Uncertain significance |
| embA | 4245969 | p.Pro913Ser | missense_variant | 0.2 | ethambutol | Not assoc w R |
| embB | 4247646 | p.Glu378Ala | missense_variant | 0.26 | ethambutol | Not assoc w R |
| embB | 4249673 | p.Ser1054Pro | missense_variant | 0.13 | ethambutol | Not assoc w R - Interim |
| aftB | 4267647 | p.Asp397Gly | missense_variant | 0.12 | ethambutol | Not assoc w R |
| ubiA | 4269387 | p.Glu149Asp | missense_variant | 0.31 | ethambutol | Not assoc w R |
| ubiA | 4269469 | p.Pro122Gln | missense_variant | 0.12 | ethambutol | Uncertain significance |
| ubiA | 4269606 | c.228T>C | synonymous_variant | 0.29 | ethambutol | Not assoc w R |
| ethA | 4326432 | p.Leu348Phe | missense_variant | 0.17 | 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 | 4338603 | c.-82C>T | upstream_gene_variant | 0.26 | 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 | ||||||
| whiB6 | 4338846 | c.-325T>G | upstream_gene_variant | 0.28 | capreomycin | |
| amikacin | ||||||
| kanamycin | ||||||
| gid | 4407588 | c.615A>G | synonymous_variant | 0.76 | streptomycin | Not assoc w R |
| gid | 4407873 | c.330G>T | synonymous_variant | 0.13 | streptomycin | Not assoc w R |