Run ID: SRR25827331
Sample name:
Date: 2024-10-04T06:16:54.609285
Number of reads: 40879322
Percentage reads mapped: 99.18
Median coverage: 1148.5
Strain: lineage3.1.2;lineage4.1.1
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage3 | East-African-Indian | RD750 | 0.8 |
| lineage3.1.2 | East-African-Indian | RD750 | 0.79 |
| lineage4.1 | Euro-American | None | 0.19 |
| lineage4 | Euro-American | None | 0.19 |
| lineage4.1.1 | Euro-American (X-type) | None | 0.21 |
| lineage3.1 | East-African-Indian | RD750 | 0.82 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Ser450Leu | Assoc w R | |
| isoniazid | katG | p.Ser315Thr | Assoc w R | High-level resistance |
| ethambutol | embB | p.Met306Ile | Assoc w R | |
| pyrazinamide | ||||
| streptomycin | gid | c.102delG | Assoc w R | |
| fluoroquinolones | ||||
| moxifloxacin | gyrA | p.Ser91Pro | Assoc w R | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) |
| ofloxacin | ||||
| levofloxacin | gyrA | p.Ser91Pro | Assoc w R | |
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | ||||
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7572 | p.Ser91Pro | missense_variant | 0.78 | 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) | |||||
| rpoB | 761155 | p.Ser450Leu | missense_variant | 0.8 | rifampicin | Assoc w R | |
| katG | 2155168 | p.Ser315Thr | missense_variant | 0.74 | isoniazid | Assoc w R | High-level resistance |
| embB | 4247431 | p.Met306Ile | missense_variant | 0.81 | ethambutol | Assoc w R | |
| gid | 4408100 | c.102delG | frameshift_variant | 0.79 | streptomycin | Assoc w R |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence |
|---|---|---|---|---|---|---|
| dnaA | 429 | c.429C>T | synonymous_variant | 0.2 | isoniazid | Not assoc w R - Interim |
| gyrB | 5560 | c.321C>A | synonymous_variant | 0.83 | levofloxacin | |
| moxifloxacin | ||||||
| gyrB | 7221 | p.Ser661Thr | missense_variant | 0.19 | levofloxacin | Uncertain significance |
| moxifloxacin | Uncertain significance | |||||
| 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 | 9212 | c.1911G>A | synonymous_variant | 0.19 | levofloxacin | |
| moxifloxacin | ||||||
| gyrA | 9304 | p.Gly668Asp | missense_variant | 1.0 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| Rv0010c | 13436 | c.123A>G | synonymous_variant | 0.21 | isoniazid | Not assoc w R - Interim |
| fgd1 | 491742 | c.960T>C | synonymous_variant | 0.82 | pretomanid | |
| delamanid | Not assoc w R - Interim | |||||
| clofazimine | Not assoc w R | |||||
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 0.78 | ethionamide | Not assoc w R - Interim |
| Rv0565c | 657269 | p.Ser68Pro | missense_variant | 0.19 | ethionamide | Uncertain significance |
| rpoB | 759746 | c.-61C>T | upstream_gene_variant | 0.78 | rifampicin | Not assoc w R |
| rpoB | 762434 | c.2628T>G | synonymous_variant | 0.76 | rifampicin | Not assoc w R |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 0.83 | rifampicin | Not assoc w R |
| rpoC | 764817 | p.Val483Ala | missense_variant | 0.76 | rifampicin | Uncertain significance |
| rpoC | 765150 | p.Gly594Glu | missense_variant | 0.21 | 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 | 0.82 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| rplC | 800219 | c.-590T>C | upstream_gene_variant | 0.23 | linezolid | |
| rplC | 800492 | c.-317G>A | upstream_gene_variant | 0.8 | linezolid | |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 0.8 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| Rv1258c | 1407150 | p.Thr64Ser | missense_variant | 0.21 | streptomycin | Uncertain significance |
| pyrazinamide | Uncertain significance | |||||
| isoniazid | Uncertain significance | |||||
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | kanamycin | |
| capreomycin | ||||||
| streptomycin | ||||||
| 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 | 2154724 | p.Arg463Leu | missense_variant | 0.84 | isoniazid | Not assoc w R |
| PPE35 | 2168453 | c.2160C>G | synonymous_variant | 1.0 | pyrazinamide | Not assoc w R - Interim |
| PPE35 | 2168742 | p.Gly624Asp | missense_variant | 1.0 | pyrazinamide | Uncertain significance |
| Rv1979c | 2223293 | c.-129A>G | upstream_gene_variant | 1.0 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| pncA | 2289047 | c.195C>T | synonymous_variant | 0.79 | pyrazinamide | Not assoc w R |
| pncA | 2289365 | c.-125delC | upstream_gene_variant | 0.77 | pyrazinamide | |
| ahpC | 2726105 | c.-88G>A | upstream_gene_variant | 0.78 | isoniazid | Not assoc w R |
| Rv2477c | 2782498 | c.1545C>T | synonymous_variant | 0.81 | kanamycin | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| moxifloxacin | Not assoc w R | |||||
| streptomycin | Not assoc w R - Interim | |||||
| rifampicin | Not assoc w R | |||||
| ethambutol | Not assoc w R | |||||
| amikacin | Not assoc w R | |||||
| Rv2477c | 2784426 | c.-384G>A | upstream_gene_variant | 0.76 | kanamycin | |
| levofloxacin | ||||||
| moxifloxacin | ||||||
| streptomycin | ||||||
| rifampicin | ||||||
| ethambutol | ||||||
| amikacin | ||||||
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | rifampicin | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| rpoA | 3878641 | c.-135delG | upstream_gene_variant | 0.21 | rifampicin | Uncertain significance |
| rpoA | 3878897 | c.-390T>C | upstream_gene_variant | 0.23 | rifampicin | Uncertain significance |
| panD | 4044872 | c.-591C>T | upstream_gene_variant | 0.8 | pyrazinamide | |
| glpK | 4138622 | c.1134C>T | synonymous_variant | 0.8 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| streptomycin | Not assoc w R - Interim | |||||
| rifampicin | Not assoc w R | |||||
| ethambutol | Not assoc w R | |||||
| embC | 4242075 | p.Arg738Gln | missense_variant | 0.81 | 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 | 0.19 | ethambutol | Not assoc w R |
| embB | 4247028 | p.Leu172Arg | missense_variant | 0.19 | ethambutol | |
| embB | 4247039 | p.Phe176Val | missense_variant | 0.16 | ethambutol | |
| embB | 4249408 | c.2895G>A | synonymous_variant | 0.24 | ethambutol | Not assoc w R |
| 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 | 1.0 | kanamycin | |
| capreomycin | ||||||
| amikacin | ||||||
| gid | 4407588 | c.615A>G | synonymous_variant | 0.75 | streptomycin | Not assoc w R |