TB-Profiler result

Run: SRR25827355
Summary

Run ID: SRR25827355

Sample name:

Date: 2024-04-15T23:26:24.011733

Number of reads: 12536866

Percentage reads mapped: 99.04

Median coverage: 332.0

Strain: lineage2.2.1;lineage3;lineage4

Spoligotype:

Drug-resistance: Pre-XDR-TB

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Lineage Table: The lineage is inferred by analysing lineage specific SNPs
Lineage Family RDs Frequency
lineage3 East-African-Indian RD750 0.21
lineage2 East-Asian RD105 0.73
lineage2.2.1 East-Asian (Beijing) RD105;RD207;RD181 0.74
lineage2.2 East-Asian (Beijing) RD105;RD207 0.72
lineage4 Euro-American None 0.08
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
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 embA c.-11C>A Uncertain significance Mutation from literature
embB p.Met306Val Assoc w R
p.Gln497Arg Assoc w R
pyrazinamide pncA p.Gly132Ala Assoc w R
p.Leu27Pro Assoc w R
streptomycin rpsL p.Lys43Arg 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
capreomycin
kanamycin
cycloserine
ethionamide inhA c.-777C>T Assoc w R Alias fabG1_c.-15C>T
ethA c.449_481delGATTCGCCGGCTCGGAGGATTTCGTCGGGCCGA Mutation from literature
p.Tyr141* Assoc w R
clofazimine
para-aminosalicylic_acid
delamanid
bedaquiline
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 7582 p.Asp94Gly missense_variant 1.0 levofloxacin Assoc w R
moxifloxacin Assoc w R High-level resistance
rpoB 761155 p.Ser450Leu missense_variant 0.95 rifampicin Assoc w R
rpsL 781687 p.Lys43Arg missense_variant 0.71 streptomycin Assoc w R
inhA 1673425 c.-777C>T upstream_gene_variant 0.77 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 0.88 isoniazid Assoc w R High-level resistance
pncA 2288847 p.Gly132Ala missense_variant 0.24 pyrazinamide Assoc w R
pncA 2289162 p.Leu27Pro missense_variant 0.5 pyrazinamide Assoc w R
embA 4243222 c.-11C>A upstream_gene_variant 0.5 ethambutol Uncertain significance Mutation from literature
embB 4247429 p.Met306Val missense_variant 0.6 ethambutol Assoc w R
embB 4248003 p.Gln497Arg missense_variant 0.21 ethambutol Assoc w R
ethA 4326992 c.449_481delGATTCGCCGGCTCGGAGGATTTCGTCGGGCCGA disruptive_inframe_deletion 0.46 ethionamide Mutation from literature
ethA 4327051 p.Tyr141* stop_gained 0.16 ethionamide Assoc w R
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
gyrA 7362 p.Glu21Gln missense_variant 1.0 levofloxacin Not assoc w R
moxifloxacin Not assoc w R
gyrA 7374 p.Gln25Glu missense_variant 0.17 levofloxacin Uncertain significance
moxifloxacin Uncertain significance
gyrA 7585 p.Ser95Thr missense_variant 0.91 levofloxacin Not assoc w R
moxifloxacin Not assoc w R
gyrA 9304 p.Gly668Asp missense_variant 0.9 levofloxacin Not assoc w R
moxifloxacin Not assoc w R
fgd1 491290 p.Val170Met missense_variant 0.23 clofazimine Not assoc w R
pretomanid
delamanid Uncertain significance
fgd1 491742 c.960T>C synonymous_variant 0.93 clofazimine Not assoc w R
pretomanid
delamanid Not assoc w R - Interim
mshA 575907 p.Ala187Val missense_variant 0.2 ethionamide Not assoc w R
isoniazid Not assoc w R
ccsA 620625 p.Ile245Met missense_variant 0.71 capreomycin Not assoc w R
amikacin Not assoc w R
kanamycin Uncertain significance
Rv0565c 657081 c.390G>A synonymous_variant 0.96 ethionamide Not assoc w R - Interim
Rv0565c 657142 p.Arg110His missense_variant 0.75 ethionamide Uncertain significance
rpoB 759746 c.-61C>T upstream_gene_variant 0.2 rifampicin Not assoc w R
rpoB 762434 c.2628T>G synonymous_variant 0.12 rifampicin Not assoc w R
rpoB 763031 c.3225T>C synonymous_variant 0.98 rifampicin Not assoc w R
rpoC 764840 p.Ile491Val missense_variant 0.24 rifampicin Uncertain significance
rpoC 764918 p.Val517Leu missense_variant 0.14 rifampicin Uncertain significance
rpoC 766488 p.Pro1040Arg missense_variant 0.51 rifampicin Uncertain significance
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 0.9 clofazimine Not assoc w R
bedaquiline Not assoc w R - Interim
mmpL5 776182 p.Asp767Asn missense_variant 0.22 clofazimine Not assoc w R
bedaquiline Not assoc w R
mmpR5 779274 p.Leu95Phe missense_variant 0.12 clofazimine
bedaquiline
mmpS5 779615 c.-710C>G upstream_gene_variant 0.73 clofazimine
bedaquiline
rpsL 781395 c.-165T>C upstream_gene_variant 1.0 streptomycin Not assoc w R
rpsL 781676 c.117C>T synonymous_variant 0.17 streptomycin Not assoc w R - Interim
Rv1129c 1254562 c.-28T>C upstream_gene_variant 0.92 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 0.81 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 0.69 pyrazinamide Not assoc w R - Interim
tsnR 1854300 p.Leu232Pro missense_variant 0.9 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 0.91 isoniazid Not assoc w R
katG 2154832 p.Leu427His missense_variant 0.15 isoniazid
PPE35 2167926 p.Leu896Ser missense_variant 0.91 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
pncA 2289365 c.-125delC upstream_gene_variant 0.22 pyrazinamide
ahpC 2726105 c.-88G>A upstream_gene_variant 0.15 isoniazid Not assoc w R
Rv2477c 2782498 c.1545C>T synonymous_variant 0.25 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
thyA 3074529 c.-58G>C upstream_gene_variant 0.15 para-aminosalicylic_acid
ald 3086788 c.-32T>C upstream_gene_variant 0.94 cycloserine
whiB7 3568555 p.Leu42Pro missense_variant 0.46 streptomycin Uncertain significance
amikacin Uncertain significance
kanamycin Uncertain significance
whiB7 3568854 c.-176delG upstream_gene_variant 0.44 streptomycin Uncertain significance
amikacin Uncertain significance
kanamycin Uncertain significance
whiB7 3568889 c.-211_-210insG upstream_gene_variant 0.14 streptomycin Uncertain significance
amikacin
kanamycin
whiB7 3569220 c.-541C>T upstream_gene_variant 0.47 streptomycin
amikacin
kanamycin
Rv3236c 3612813 p.Thr102Ala missense_variant 0.72 pyrazinamide Not assoc w R - Interim
lpqB 3624756 p.Leu52Ser missense_variant 0.13 bedaquiline Uncertain significance
rifampicin Uncertain significance
mtrB 3625065 p.Met517Leu missense_variant 0.91 bedaquiline Uncertain significance
rifampicin Not assoc w R
mtrB 3625418 p.Leu399Arg missense_variant 0.17 bedaquiline
rifampicin
mtrB 3626562 p.Pro18Ser missense_variant 0.71 bedaquiline Uncertain significance
rifampicin Not assoc w R
panD 4044872 c.-591C>T upstream_gene_variant 0.2 pyrazinamide
glpK 4138622 c.1134C>T synonymous_variant 0.15 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 4241022 p.Ala387Val missense_variant 0.19 ethambutol Uncertain significance
embC 4242075 p.Arg738Gln missense_variant 0.17 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 0.67 ethambutol Not assoc w R
embB 4246544 p.Thr11Pro missense_variant 0.17 ethambutol Uncertain significance
embB 4246548 p.Pro12Gln missense_variant 0.16 ethambutol Uncertain significance
embB 4246555 c.42G>C synonymous_variant 0.16 ethambutol
embB 4246556 p.Ala15Pro missense_variant 0.15 ethambutol Uncertain significance
embB 4246563 p.Leu17Trp missense_variant 0.18 ethambutol Uncertain significance
embB 4246567 c.54G>T synonymous_variant 0.13 ethambutol Not assoc w R - Interim
embB 4247028 p.Leu172Arg missense_variant 0.22 ethambutol
embB 4247039 p.Phe176Val missense_variant 0.19 ethambutol
aftB 4267088 c.1749C>T synonymous_variant 0.2 ethambutol
aftB 4267647 p.Asp397Gly missense_variant 0.76 ethambutol Not assoc w R
ubiA 4269794 p.Val14Leu missense_variant 0.12 ethambutol Uncertain significance
ethA 4326676 p.Ser266Arg missense_variant 0.52 ethionamide Uncertain significance
ethA 4326963 p.Leu171Phe missense_variant 0.15 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 4338732 c.-211C>T upstream_gene_variant 0.92 capreomycin
amikacin
kanamycin
whiB6 4338781 c.-260C>T upstream_gene_variant 0.16 capreomycin
amikacin
kanamycin
gid 4407588 c.615A>G synonymous_variant 0.95 streptomycin Not assoc w R
gid 4407620 p.Tyr195His missense_variant 0.15 streptomycin Not assoc w R
gid 4407927 p.Glu92Asp missense_variant 0.69 streptomycin Not assoc w R