TB-Profiler result

Run: SRR22175187
Summary

Run ID: SRR22175187

Sample name:

Date: 2024-10-05T05:05:50.440547

Number of reads: 7625207

Percentage reads mapped: 99.32

Median coverage: 232.0

Strain: lineage1.1.2;lineage2.2.1

Spoligotype:

Drug-resistance: XDR-TB

Download CSV Download TXT Download JSON
Lineage Table: The lineage is inferred by analysing lineage specific SNPs
Lineage Family RDs Frequency
lineage1.1.2 Indo-Oceanic RD239 0.4
lineage2 East-Asian RD105 0.59
lineage1.1 Indo-Oceanic RD239 0.42
lineage2.2.1 East-Asian (Beijing) RD105;RD207;RD181 0.59
lineage2.2 East-Asian (Beijing) RD105;RD207 0.58
lineage1 Indo-Oceanic RD239 0.4
Drug resistance: This table reports drug-resistance associated mutations found in known resistance genes
Drug Resistance Supporting mutations WHO confidence Comment
rifampicin rpoB p.Ser450Leu Assoc w R
rpoC p.Ile491Thr Uncertain significance Mutation from literature
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)
c.-770T>A Assoc w R - Interim Alias fabG1_c.-8T>A. 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 embA c.-16C>T Uncertain significance Mutation from literature
pyrazinamide pncA p.Ile5Ser Assoc w R
streptomycin rpsL p.Lys43Arg 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
capreomycin
kanamycin eis c.-12C>T Assoc w R
cycloserine alr p.Met343Thr Mutation from literature
ethionamide inhA c.-777C>T Assoc w R Alias fabG1_c.-15C>T
c.-770T>A Assoc w R - Interim Alias fabG1_c.-8T>A
clofazimine mmpR5 c.198dupG Assoc w R Can only confer resistance if genetically linked to a functional MmpL5
para-aminosalicylic_acid thyA p.Thr22Ala Mutation from literature
delamanid
bedaquiline mmpR5 c.198dupG Assoc w R Can only confer resistance if genetically linked to a functional MmpL5
linezolid
Drug resistance-Associated Mutations: This table reports mutations found in candidate resistance genes which have been associated with drug resistance
Gene Chromosome position Mutation Type Estimated fraction Drugs Confidence Comment
gyrA 7570 p.Ala90Val missense_variant 0.62 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 0.61 levofloxacin Assoc w R
moxifloxacin Assoc w R High-level resistance
rpoB 761155 p.Ser450Leu missense_variant 0.6 rifampicin Assoc w R
rpoC 764841 p.Ile491Thr missense_variant 0.54 rifampicin Uncertain significance Mutation from literature
mmpR5 779181 c.198dupG frameshift_variant 0.65 bedaquiline Assoc w R Can only confer resistance if genetically linked to a functional MmpL5
clofazimine Assoc w R Can only confer resistance if genetically linked to a functional MmpL5
rpsL 781687 p.Lys43Arg missense_variant 0.6 streptomycin Assoc w R
inhA 1673425 c.-777C>T upstream_gene_variant 0.38 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)
inhA 1673432 c.-770T>A upstream_gene_variant 0.61 ethionamide Assoc w R - Interim Alias fabG1_c.-8T>A
isoniazid Assoc w R - Interim Alias fabG1_c.-8T>A. Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance)
katG 2155168 p.Ser315Thr missense_variant 0.54 isoniazid Assoc w R High-level resistance
pncA 2289228 p.Ile5Ser missense_variant 0.58 pyrazinamide Assoc w R
eis 2715344 c.-12C>T upstream_gene_variant 0.62 kanamycin Assoc w R
thyA 3074408 p.Thr22Ala missense_variant 0.6 para-aminosalicylic_acid Mutation from literature
alr 3840393 p.Met343Thr missense_variant 0.52 cycloserine Mutation from literature
embA 4243217 c.-16C>T upstream_gene_variant 0.58 ethambutol Uncertain significance Mutation from literature
Non-Associated Mutations: This table reports mutations found in candidate resistance genes which have not been associated with drug resistance
Gene Chromosome position Mutation Type Estimated fraction Drugs Confidence
gyrB 6112 p.Met291Ile missense_variant 0.5 levofloxacin Not assoc w R
moxifloxacin Not assoc w R
gyrB 6124 c.885C>T synonymous_variant 0.49 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 0.49 levofloxacin Not assoc w R
moxifloxacin Not assoc w R
gyrA 9047 c.1746C>T synonymous_variant 0.51 levofloxacin Not assoc w R - Interim
moxifloxacin Not assoc w R
gyrA 9143 c.1842T>C synonymous_variant 0.48 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
gyrA 9443 c.2142G>A synonymous_variant 0.41 levofloxacin Not assoc w R - Interim
moxifloxacin Not assoc w R
Rv0010c 13298 p.Ile87Met missense_variant 0.47 isoniazid Not assoc w R
Rv0010c 13460 c.99T>C synonymous_variant 0.43 isoniazid Not assoc w R
fgd1 491290 p.Val170Met missense_variant 0.58 pretomanid
delamanid Uncertain significance
clofazimine Not assoc w R
fgd1 491742 c.960T>C synonymous_variant 1.0 pretomanid
delamanid Not assoc w R - Interim
clofazimine Not assoc w R
mshA 575907 p.Ala187Val missense_variant 0.68 isoniazid Not assoc w R
ethionamide Not assoc w R
mshA 576000 p.Asp218Ala missense_variant 0.36 isoniazid Not assoc w R - Interim
ethionamide Uncertain significance
ccsA 620625 p.Ile245Met missense_variant 0.63 kanamycin Uncertain significance
capreomycin Not assoc w R
amikacin Not assoc w R
Rv0565c 657081 c.390G>A synonymous_variant 0.53 ethionamide Not assoc w R - Interim
Rv0565c 657142 p.Arg110His missense_variant 0.54 ethionamide Uncertain significance
Rv0565c 657578 c.-108T>C upstream_gene_variant 0.42 ethionamide
nusG 734116 c.-138T>C upstream_gene_variant 0.47 rifampicin Not assoc w R
rpoB 759546 c.-261A>G upstream_gene_variant 0.47 rifampicin Not assoc w R
rpoB 760490 c.684C>T synonymous_variant 0.47 rifampicin Not assoc w R
rpoB 763031 c.3225T>C synonymous_variant 1.0 rifampicin Not assoc w R
rpoC 763884 p.Ala172Val missense_variant 0.37 rifampicin Not assoc w R
rpoC 763886 c.517C>A synonymous_variant 0.37 rifampicin Not assoc w R
rpoC 765171 p.Pro601Leu missense_variant 0.38 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 775979 c.2502G>A synonymous_variant 0.39 bedaquiline Not assoc w R - Interim
clofazimine Not assoc w R - Interim
mmpL5 776100 p.Thr794Ile missense_variant 1.0 bedaquiline Not assoc w R - Interim
clofazimine Not assoc w R
mmpL5 776182 p.Asp767Asn missense_variant 0.5 bedaquiline Not assoc w R
clofazimine Not assoc w R
mmpL5 776395 p.Phe696Leu missense_variant 0.47 bedaquiline Uncertain significance
clofazimine Not assoc w R
mmpS5 779615 c.-710C>G upstream_gene_variant 0.7 bedaquiline
clofazimine
rpsL 781395 c.-165T>C upstream_gene_variant 1.0 streptomycin Not assoc w R
rplC 800357 c.-452C>A upstream_gene_variant 0.42 linezolid Not assoc w R
Rv1129c 1254562 c.-28T>C upstream_gene_variant 0.99 levofloxacin Not assoc w R
moxifloxacin Not assoc w R
isoniazid Not assoc w R
rifampicin Not assoc w R
Rv1258c 1406760 c.580_581insC frameshift_variant 0.66 streptomycin Uncertain significance
pyrazinamide Uncertain significance
isoniazid Uncertain significance
embR 1417019 p.Cys110Tyr missense_variant 0.35 ethambutol Not assoc w R
embR 1417554 c.-207C>G upstream_gene_variant 0.39 ethambutol
embR 1417793 c.-446C>T upstream_gene_variant 0.37 ethambutol
rrs 1471659 n.-187C>T upstream_gene_variant 0.99 kanamycin
capreomycin
streptomycin
amikacin
rrl 1473615 n.-43G>C upstream_gene_variant 0.55 capreomycin Uncertain significance
linezolid Uncertain significance
rpsA 1834177 c.636A>C synonymous_variant 0.62 pyrazinamide Not assoc w R - Interim
tsnR 1853974 c.369C>T synonymous_variant 0.33 linezolid Not assoc w R
tsnR 1854045 p.Tyr147Cys missense_variant 0.35 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 0.37 kanamycin Not assoc w R
capreomycin Not assoc w R
streptomycin Not assoc w R
amikacin 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
PPE35 2167983 p.Gly877Asp missense_variant 0.43 pyrazinamide Uncertain significance
PPE35 2169369 p.Gly415Ala missense_variant 0.38 pyrazinamide Uncertain significance
Rv1979c 2222308 p.Asp286Gly missense_variant 0.41 bedaquiline Not assoc w R - Interim
clofazimine 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 2518132 c.18C>T synonymous_variant 0.35 isoniazid
ahpC 2726051 c.-142G>A upstream_gene_variant 0.45 isoniazid
Rv2681 2996912 c.174C>T synonymous_variant 0.46 capreomycin Not assoc w R
Rv2752c 3064632 c.1560C>T synonymous_variant 0.39 levofloxacin Not assoc w R
moxifloxacin Not assoc w R
isoniazid Not assoc w R
rifampicin Not assoc w R
ethambutol Not assoc w R
thyX 3067949 c.-4C>T upstream_gene_variant 0.6 para-aminosalicylic_acid
ald 3086788 c.-32T>C upstream_gene_variant 1.0 cycloserine
Rv3083 3448714 p.Asp71His missense_variant 0.36 ethionamide Uncertain significance
Rv3236c 3612813 p.Thr102Ala missense_variant 0.6 pyrazinamide Not assoc w R - Interim
lpqB 3624486 p.Asp142Gly missense_variant 0.43 rifampicin Not assoc w R
bedaquiline Uncertain significance
mtrB 3625065 p.Met517Leu missense_variant 0.99 rifampicin Not assoc w R
bedaquiline Uncertain significance
mtrB 3626467 c.147G>A synonymous_variant 0.47 rifampicin Not assoc w R
bedaquiline Not assoc w R - Interim
mtrB 3626562 p.Pro18Ser missense_variant 0.53 rifampicin Not assoc w R
bedaquiline Uncertain significance
clpC1 4040517 p.Val63Ala missense_variant 0.57 pyrazinamide Not assoc w R - Interim
panD 4044740 c.-459C>T upstream_gene_variant 0.4 pyrazinamide
glpK 4138377 p.Val460Ala missense_variant 0.4 levofloxacin Not assoc w R
moxifloxacin Not assoc w R
isoniazid Not assoc w R
streptomycin Not assoc w R
rifampicin Not assoc w R
ethambutol Not assoc w R
embC 4240671 p.Thr270Ile missense_variant 0.47 ethambutol Not assoc w R
embC 4241022 p.Ala387Val missense_variant 0.57 ethambutol Uncertain significance
embC 4241042 p.Asn394Asp missense_variant 0.42 ethambutol Not assoc w R
embC 4242643 c.2781C>T synonymous_variant 1.0 ethambutol Not assoc w R
embA 4243460 c.228C>T synonymous_variant 0.61 ethambutol Not assoc w R
embA 4243848 p.Val206Met missense_variant 0.35 ethambutol Not assoc w R
embA 4243875 c.643C>T synonymous_variant 0.34 ethambutol Not assoc w R - Interim
embA 4245969 p.Pro913Ser missense_variant 0.39 ethambutol Not assoc w R
embB 4247646 p.Glu378Ala missense_variant 0.4 ethambutol Not assoc w R
embB 4247847 p.Gln445Arg missense_variant 0.61 ethambutol Uncertain significance
aftB 4267647 p.Asp397Gly missense_variant 0.56 ethambutol Not assoc w R
ubiA 4269387 p.Glu149Asp missense_variant 0.42 ethambutol Not assoc w R
ubiA 4269606 c.228T>C synonymous_variant 0.49 ethambutol Not assoc w R
ethA 4327344 p.Thr44Pro missense_variant 0.54 ethionamide Uncertain significance
whiB6 4338292 p.Ala77Val missense_variant 0.48 kanamycin Uncertain significance
capreomycin Uncertain significance
amikacin Uncertain significance
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 4338603 c.-82C>T upstream_gene_variant 0.4 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 1.0 streptomycin Not assoc w R
gid 4407620 p.Tyr195His missense_variant 0.61 streptomycin Not assoc w R
gid 4407873 c.330G>T synonymous_variant 0.39 streptomycin Not assoc w R
gid 4407927 p.Glu92Asp missense_variant 0.6 streptomycin Not assoc w R