Run ID: SRR21276944
Sample name:
Date: 2024-04-16T03:36:31.924449
Number of reads: 13003095
Percentage reads mapped: 99.0
Median coverage: 401.0
Strain: lineage2.2.1.2
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage2 | East-Asian | RD105 | 1.0 |
| lineage2.2.1 | East-Asian (Beijing) | RD105;RD207;RD181 | 1.0 |
| lineage2.2 | East-Asian (Beijing) | RD105;RD207 | 1.0 |
| lineage2.2.1.2 | East-Asian (Beijing) | RD105;RD207;RD181;RD142 | 0.89 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Gln432Pro | Assoc w R | |
| p.Asp435Val | 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) |
| p.Ile21Thr | Uncertain significance | Mutation from literature | ||
| katG | p.Ser315Thr | Assoc w R | High-level resistance | |
| ethambutol | embB | p.Gly406Asp | Assoc w R | |
| p.Gly406Ala | Assoc w R | |||
| pyrazinamide | pncA | p.Thr142Ala | Assoc w R | |
| p.His71Tyr | Assoc w R | |||
| streptomycin | rpsL | p.Lys43Arg | Assoc w R | |
| p.Lys88Arg | Assoc w R | |||
| fluoroquinolones | ||||
| moxifloxacin | gyrA | p.Ala90Val | Assoc w R | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) |
| p.Asp94Gly | Assoc w R | High-level resistance | ||
| ofloxacin | ||||
| levofloxacin | gyrA | p.Ala90Val | Assoc w R | |
| 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 |
| p.Ile21Thr | Uncertain significance | Mutation from literature | ||
| ethA | c.140delT | Assoc w R | ||
| clofazimine | ||||
| para-aminosalicylic_acid | folC | p.Glu153Ala | Mutation from literature | |
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7570 | p.Ala90Val | missense_variant | 0.12 | levofloxacin | Assoc w R | |
| moxifloxacin | Assoc w R | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) | |||||
| gyrA | 7582 | p.Asp94Gly | missense_variant | 0.87 | levofloxacin | Assoc w R | |
| moxifloxacin | Assoc w R | High-level resistance | |||||
| rpoB | 761101 | p.Gln432Pro | missense_variant | 0.13 | rifampicin | Assoc w R | |
| rpoB | 761110 | p.Asp435Val | missense_variant | 0.86 | rifampicin | Assoc w R | |
| rpsL | 781687 | p.Lys43Arg | missense_variant | 0.84 | streptomycin | Assoc w R | |
| rpsL | 781822 | p.Lys88Arg | missense_variant | 0.14 | streptomycin | Assoc w R | |
| rrs | 1473246 | n.1401A>G | non_coding_transcript_exon_variant | 0.99 | capreomycin | Assoc w R | |
| kanamycin | Assoc w R | ||||||
| amikacin | Assoc w R | ||||||
| inhA | 1673425 | c.-777C>T | upstream_gene_variant | 0.14 | 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) |
| ethionamide | Assoc w R | Alias fabG1_c.-15C>T | |||||
| inhA | 1674263 | p.Ile21Thr | missense_variant | 0.11 | isoniazid | Uncertain significance | Mutation from literature |
| ethionamide | Uncertain significance | Mutation from literature | |||||
| katG | 2155168 | p.Ser315Thr | missense_variant | 0.85 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2288818 | p.Thr142Ala | missense_variant | 0.87 | pyrazinamide | Assoc w R | |
| pncA | 2289031 | p.His71Tyr | missense_variant | 0.12 | pyrazinamide | Assoc w R | |
| folC | 2747141 | p.Glu153Ala | missense_variant | 0.84 | para-aminosalicylic_acid | Mutation from literature | |
| embB | 4247730 | p.Gly406Asp | missense_variant | 0.84 | ethambutol | Assoc w R | |
| embB | 4247730 | p.Gly406Ala | missense_variant | 0.15 | ethambutol | Assoc w R | |
| ethA | 4327333 | c.140delT | frameshift_variant | 0.87 | 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 | 491742 | c.960T>C | synonymous_variant | 1.0 | clofazimine | Not assoc w R |
| pretomanid | ||||||
| delamanid | Not assoc w R - Interim | |||||
| mshA | 575907 | p.Ala187Val | missense_variant | 0.99 | ethionamide | Not assoc w R |
| isoniazid | Not assoc w R | |||||
| ccsA | 620625 | p.Ile245Met | missense_variant | 0.99 | capreomycin | Not assoc w R |
| amikacin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| Rv0565c | 656956 | p.Trp172* | stop_gained | 0.88 | ethionamide | Uncertain significance |
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 1.0 | ethionamide | Not assoc w R - Interim |
| Rv0565c | 657142 | p.Arg110His | missense_variant | 1.0 | ethionamide | Uncertain significance |
| rpoB | 762201 | p.Lys799Gln | missense_variant | 0.13 | rifampicin | Uncertain significance |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 1.0 | rifampicin | Not assoc w R |
| rpoC | 765033 | p.Ala555Val | missense_variant | 0.88 | rifampicin | |
| mmpL5 | 775639 | p.Ile948Val | missense_variant | 0.99 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| mmpL5 | 776100 | p.Thr794Ile | missense_variant | 1.0 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| mmpL5 | 776182 | p.Asp767Asn | missense_variant | 1.0 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R | |||||
| mmpS5 | 779615 | c.-710C>G | upstream_gene_variant | 1.0 | clofazimine | |
| bedaquiline | ||||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| Rv1129c | 1253175 | p.Ser454Ala | missense_variant | 0.87 | moxifloxacin | Uncertain significance |
| levofloxacin | Uncertain significance | |||||
| rifampicin | Uncertain significance | |||||
| isoniazid | Uncertain significance | |||||
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 1.0 | moxifloxacin | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| Rv1258c | 1406760 | c.580_581insC | frameshift_variant | 1.0 | streptomycin | Uncertain significance |
| isoniazid | Uncertain significance | |||||
| pyrazinamide | Uncertain significance | |||||
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | streptomycin | |
| kanamycin | ||||||
| capreomycin | ||||||
| amikacin | ||||||
| rpsA | 1834177 | c.636A>C | synonymous_variant | 1.0 | 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 | 1.0 | isoniazid | Not assoc w R |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 1.0 | pyrazinamide | Not assoc w R |
| Rv1979c | 2223293 | c.-129A>G | upstream_gene_variant | 1.0 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| ahpC | 2726681 | c.489A>C | synonymous_variant | 0.87 | isoniazid | Not assoc w R - Interim |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| ald | 3087925 | p.Val369Ala | missense_variant | 0.76 | cycloserine | |
| whiB7 | 3568765 | c.-86T>A | upstream_gene_variant | 0.88 | streptomycin | |
| amikacin | ||||||
| kanamycin | ||||||
| Rv3236c | 3612813 | p.Thr102Ala | missense_variant | 1.0 | pyrazinamide | Not assoc w R - Interim |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| mtrB | 3626338 | c.276C>G | synonymous_variant | 0.88 | bedaquiline | Not assoc w R - Interim |
| rifampicin | Not assoc w R - Interim | |||||
| mtrB | 3626562 | p.Pro18Ser | missense_variant | 0.97 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| clpC1 | 4040952 | c.-248C>T | upstream_gene_variant | 0.91 | pyrazinamide | |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embA | 4243460 | c.228C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embA | 4246085 | p.Glu951Asp | missense_variant | 0.13 | ethambutol | Not assoc w R |
| aftB | 4267647 | p.Asp397Gly | missense_variant | 1.0 | ethambutol | Not assoc w R |
| 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 | 4407588 | c.615A>G | synonymous_variant | 1.0 | streptomycin | Not assoc w R |
| gid | 4407927 | p.Glu92Asp | missense_variant | 1.0 | streptomycin | Not assoc w R |