Run ID: SRR25827449
Sample name:
Date: 2024-05-22T09:02:09.243377
Number of reads: 106351083
Percentage reads mapped: 98.98
Median coverage: 3159.0
Strain: lineage1.1.2;lineage1.1.3.1;lineage2.2.1
Spoligotype:
Drug-resistance: MDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage1.1.2 | Indo-Oceanic | RD239 | 0.22 |
| lineage1.1.3 | Indo-Oceanic | RD239 | 0.53 |
| lineage2 | East-Asian | RD105 | 0.25 |
| lineage1.1 | Indo-Oceanic | RD239 | 0.75 |
| lineage2.2.1 | East-Asian (Beijing) | RD105;RD207;RD181 | 0.24 |
| lineage2.2 | East-Asian (Beijing) | RD105;RD207 | 0.25 |
| lineage1 | Indo-Oceanic | RD239 | 0.76 |
| lineage1.1.3.1 | Indo-Oceanic | RD239 | 0.52 |
| 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.Met306Val | Assoc w R | |
| p.Gln853Pro | Uncertain significance | Mutation from literature | ||
| pyrazinamide | pncA | p.Thr142Ala | Assoc w R | |
| streptomycin | rpsL | p.Lys43Arg | Assoc w R | |
| fluoroquinolones | ||||
| moxifloxacin | ||||
| ofloxacin | ||||
| levofloxacin | ||||
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | ||||
| clofazimine | ||||
| para-aminosalicylic_acid | thyX | c.-16C>T | Mutation from literature | |
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| rpoB | 761155 | p.Ser450Leu | missense_variant | 0.24 | rifampicin | Assoc w R | |
| rpsL | 781687 | p.Lys43Arg | missense_variant | 0.24 | streptomycin | Assoc w R | |
| katG | 2155168 | p.Ser315Thr | missense_variant | 0.25 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2288818 | p.Thr142Ala | missense_variant | 0.27 | pyrazinamide | Assoc w R | |
| thyX | 3067961 | c.-16C>T | upstream_gene_variant | 0.24 | para-aminosalicylic_acid | Mutation from literature | |
| embB | 4247429 | p.Met306Val | missense_variant | 0.23 | ethambutol | Assoc w R | |
| embB | 4249071 | p.Gln853Pro | missense_variant | 0.25 | ethambutol | Uncertain significance | Mutation from literature |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence |
|---|---|---|---|---|---|---|
| gyrB | 6112 | p.Met291Ile | missense_variant | 0.76 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrB | 6124 | c.885C>T | synonymous_variant | 0.22 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 7283 | c.-19G>T | upstream_gene_variant | 0.26 | 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 | 8452 | p.Ala384Val | missense_variant | 0.77 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 9047 | c.1746C>T | synonymous_variant | 0.23 | levofloxacin | Not assoc w R - Interim |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 9143 | c.1842T>C | synonymous_variant | 0.77 | 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 | 0.76 | isoniazid | Not assoc w R |
| Rv0010c | 13460 | c.99T>C | synonymous_variant | 0.62 | isoniazid | 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 | 0.24 | ethionamide | Not assoc w R |
| isoniazid | Not assoc w R | |||||
| mshA | 576000 | p.Asp218Ala | missense_variant | 0.24 | ethionamide | Uncertain significance |
| isoniazid | Not assoc w R - Interim | |||||
| ccsA | 620625 | p.Ile245Met | missense_variant | 0.24 | capreomycin | Not assoc w R |
| amikacin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 0.21 | ethionamide | Not assoc w R - Interim |
| Rv0565c | 657142 | p.Arg110His | missense_variant | 0.21 | ethionamide | Uncertain significance |
| Rv0565c | 657578 | c.-108T>C | upstream_gene_variant | 0.77 | ethionamide | |
| nusG | 734116 | c.-138T>C | upstream_gene_variant | 0.76 | rifampicin | Not assoc w R |
| rpoB | 759546 | c.-261A>G | upstream_gene_variant | 0.22 | rifampicin | Not assoc w R |
| rpoB | 760490 | c.684C>T | synonymous_variant | 0.23 | rifampicin | Not assoc w R |
| rpoB | 760835 | p.His343Gln | missense_variant | 0.22 | rifampicin | Uncertain significance |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 1.0 | rifampicin | Not assoc w R |
| rpoC | 763884 | p.Ala172Val | missense_variant | 0.75 | rifampicin | Not assoc w R |
| rpoC | 763886 | c.517C>A | synonymous_variant | 0.75 | rifampicin | Not assoc w R |
| rpoC | 765171 | p.Pro601Leu | missense_variant | 0.73 | rifampicin | Not assoc w R |
| rpoC | 765230 | p.Ala621Thr | missense_variant | 0.5 | 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 | 1.0 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| mmpL5 | 776182 | p.Asp767Asn | missense_variant | 0.26 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R | |||||
| mmpL5 | 776395 | p.Phe696Leu | missense_variant | 0.21 | clofazimine | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| mmpS5 | 779526 | c.-621G>A | upstream_gene_variant | 0.55 | clofazimine | |
| bedaquiline | ||||||
| mmpS5 | 779615 | c.-710C>G | upstream_gene_variant | 0.24 | clofazimine | |
| bedaquiline | ||||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| rplC | 800357 | c.-452C>A | upstream_gene_variant | 0.76 | linezolid | Not assoc w R |
| 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 | 0.25 | streptomycin | Uncertain significance |
| isoniazid | Uncertain significance | |||||
| pyrazinamide | Uncertain significance | |||||
| embR | 1417019 | p.Cys110Tyr | missense_variant | 0.77 | ethambutol | Not assoc w R |
| embR | 1417554 | c.-207C>G | upstream_gene_variant | 0.74 | ethambutol | |
| embR | 1417793 | c.-446C>T | upstream_gene_variant | 0.74 | ethambutol | |
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | streptomycin | |
| kanamycin | ||||||
| capreomycin | ||||||
| amikacin | ||||||
| rrs | 1471786 | n.-60T>G | upstream_gene_variant | 0.13 | streptomycin | |
| kanamycin | ||||||
| capreomycin | ||||||
| amikacin | ||||||
| rpsA | 1834177 | c.636A>C | synonymous_variant | 0.26 | pyrazinamide | Not assoc w R - Interim |
| tsnR | 1853974 | c.369C>T | synonymous_variant | 0.75 | linezolid | Not assoc w R |
| tsnR | 1854045 | p.Tyr147Cys | missense_variant | 0.76 | 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 |
| tlyA | 1918254 | c.315C>T | synonymous_variant | 0.51 | capreomycin | |
| bacA | 2062922 | p.Ile603Val | missense_variant | 0.75 | streptomycin | Not assoc w R |
| kanamycin | Not assoc w R | |||||
| capreomycin | Not assoc w R | |||||
| amikacin | Not assoc w R | |||||
| katG | 2154724 | p.Arg463Leu | missense_variant | 1.0 | isoniazid | Not assoc w R |
| katG | 2156421 | c.-310G>T | upstream_gene_variant | 0.21 | isoniazid | Uncertain significance |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 1.0 | pyrazinamide | Not assoc w R |
| PPE35 | 2167983 | p.Gly877Asp | missense_variant | 0.72 | pyrazinamide | Uncertain significance |
| Rv1979c | 2222308 | p.Asp286Gly | missense_variant | 0.75 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| Rv1979c | 2223293 | c.-129A>G | upstream_gene_variant | 1.0 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| kasA | 2518132 | c.18C>T | synonymous_variant | 0.75 | isoniazid | |
| eis | 2714756 | p.Pro193Ser | missense_variant | 0.21 | amikacin | Uncertain significance |
| kanamycin | Uncertain significance | |||||
| ahpC | 2726051 | c.-142G>A | upstream_gene_variant | 0.74 | isoniazid | |
| Rv2477c | 2784123 | c.-81G>A | upstream_gene_variant | 0.21 | ethambutol | Uncertain significance |
| moxifloxacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| levofloxacin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| rifampicin | Uncertain significance | |||||
| amikacin | Uncertain significance | |||||
| Rv2477c | 2784617 | c.-575T>C | upstream_gene_variant | 0.96 | ethambutol | |
| moxifloxacin | ||||||
| streptomycin | ||||||
| levofloxacin | ||||||
| kanamycin | ||||||
| rifampicin | ||||||
| amikacin | ||||||
| Rv2681 | 2996912 | c.174C>T | synonymous_variant | 0.24 | capreomycin | Not assoc w R |
| Rv2752c | 3064632 | c.1560C>T | synonymous_variant | 0.74 | 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 | |||||
| thyA | 3074069 | p.Val135Phe | missense_variant | 0.25 | para-aminosalicylic_acid | |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| Rv3083 | 3448714 | p.Asp71His | missense_variant | 0.74 | ethionamide | Uncertain significance |
| Rv3236c | 3612813 | p.Thr102Ala | missense_variant | 0.25 | pyrazinamide | Not assoc w R - Interim |
| lpqB | 3624486 | p.Asp142Gly | missense_variant | 0.74 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| mtrB | 3626467 | c.147G>A | synonymous_variant | 0.23 | bedaquiline | Not assoc w R - Interim |
| rifampicin | Not assoc w R | |||||
| mtrB | 3626562 | p.Pro18Ser | missense_variant | 0.25 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| alr | 3841253 | c.168C>T | synonymous_variant | 0.53 | cycloserine | |
| clpC1 | 4040517 | p.Val63Ala | missense_variant | 0.76 | pyrazinamide | Not assoc w R - Interim |
| panD | 4044740 | c.-459C>T | upstream_gene_variant | 0.23 | pyrazinamide | |
| glpK | 4138377 | p.Val460Ala | missense_variant | 0.76 | 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 | 4139663 | c.93C>T | synonymous_variant | 0.54 | ethambutol | |
| moxifloxacin | ||||||
| streptomycin | ||||||
| levofloxacin | ||||||
| rifampicin | ||||||
| isoniazid | ||||||
| embC | 4240671 | p.Thr270Ile | missense_variant | 0.77 | ethambutol | Not assoc w R |
| embC | 4241042 | p.Asn394Asp | missense_variant | 0.76 | 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 | 0.24 | ethambutol | Not assoc w R |
| embA | 4243848 | p.Val206Met | missense_variant | 0.74 | ethambutol | Not assoc w R |
| embA | 4245969 | p.Pro913Ser | missense_variant | 0.75 | ethambutol | Not assoc w R |
| embB | 4247028 | p.Leu172Arg | missense_variant | 0.14 | ethambutol | |
| embB | 4247646 | p.Glu378Ala | missense_variant | 0.78 | ethambutol | Not assoc w R |
| embB | 4249757 | p.Thr1082Ala | missense_variant | 0.24 | ethambutol | Not assoc w R |
| aftB | 4267647 | p.Asp397Gly | missense_variant | 0.26 | ethambutol | Not assoc w R |
| ubiA | 4269387 | p.Glu149Asp | missense_variant | 0.73 | ethambutol | Not assoc w R |
| ubiA | 4269606 | c.228T>C | synonymous_variant | 0.75 | 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 | 4338603 | c.-82C>T | upstream_gene_variant | 0.44 | 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 | 4407780 | c.423G>A | synonymous_variant | 0.54 | streptomycin | Not assoc w R - Interim |
| gid | 4407873 | c.330G>T | synonymous_variant | 0.76 | streptomycin | Not assoc w R |
| gid | 4407927 | p.Glu92Asp | missense_variant | 0.23 | streptomycin | Not assoc w R |