Run ID: SRR25827607
Sample name:
Date: 2025-09-15T17:58:26.148006
Number of reads: 3161648
Percentage reads mapped: 50.0
Median coverage: 91.0
Strain: lineage2.2.1;lineage4.8
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage2 | East-Asian | RD105 | 54.05 |
| lineage2.2 | East-Asian (Beijing) | RD105;RD207 | 59.5 |
| lineage2.2.1 | East-Asian (Beijing) | RD105;RD207;RD181 | 53.56 |
| lineage4 | Euro-American | None | 39.28 |
| lineage4.8 | Euro-American (mainly T) | RD219 | 43.7 |
| 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.Gln497Lys | Assoc w R | |||
| pyrazinamide | pncA | p.Val155Met | Assoc w R | |
| p.Leu27Pro | Assoc w R | |||
| streptomycin | rpsL | p.Lys43Arg | Assoc w R | |
| fluoroquinolones | ||||
| moxifloxacin | gyrA | p.Gly88Cys | Assoc w R | High-level resistance |
| p.Ala90Val | Assoc w R | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) | ||
| ofloxacin | ||||
| levofloxacin | gyrA | p.Gly88Cys | Assoc w R | |
| p.Ala90Val | Assoc w R | |||
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | inhA | c.-777C>T | Assoc w R | Alias fabG1_c.-15C>T |
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7563 | p.Gly88Cys | missense_variant | 0.38 | levofloxacin | Assoc w R | |
| moxifloxacin | Assoc w R | High-level resistance | |||||
| gyrA | 7570 | p.Ala90Val | missense_variant | 0.58 | 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 | 1.0 | rifampicin | Assoc w R | |
| rpsL | 781687 | p.Lys43Arg | missense_variant | 1.0 | streptomycin | Assoc w R | |
| inhA | 1673425 | c.-777C>T | upstream_gene_variant | 0.62 | 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 | 0.99 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2288779 | p.Val155Met | missense_variant | 0.33 | pyrazinamide | Assoc w R | |
| pncA | 2289162 | p.Leu27Pro | missense_variant | 0.79 | pyrazinamide | Assoc w R | |
| embA | 4243222 | c.-11C>A | upstream_gene_variant | 0.57 | ethambutol | Uncertain significance | Mutation from literature |
| embB | 4247429 | p.Met306Val | missense_variant | 0.54 | ethambutol | Assoc w R | |
| embB | 4248002 | p.Gln497Lys | missense_variant | 0.37 | ethambutol | Assoc w R |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence |
|---|---|---|---|---|---|---|
| gyrB | 5332 | c.93C>T | synonymous_variant | 0.32 | levofloxacin | Not assoc w R - Interim |
| moxifloxacin | Not assoc w R - Interim | |||||
| gyrA | 7362 | p.Glu21Gln | missense_variant | 1.0 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 7585 | p.Ser95Thr | missense_variant | 0.61 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 8168 | p.Glu289Asp | missense_variant | 0.35 | levofloxacin | Uncertain significance |
| moxifloxacin | Uncertain significance | |||||
| gyrA | 9304 | p.Gly668Asp | missense_variant | 0.54 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| fgd1 | 491742 | c.960T>C | synonymous_variant | 0.66 | clofazimine | Not assoc w R |
| delamanid | Not assoc w R - Interim | |||||
| pretomanid | Uncertain significance | |||||
| ccsA | 620625 | p.Ile245Met | missense_variant | 0.51 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| Rv0565c | 656265 | c.1204_1205delAC | frameshift_variant | 0.36 | ethionamide | Uncertain significance |
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 0.71 | ethionamide | Not assoc w R - Interim |
| Rv0565c | 657142 | p.Arg110His | missense_variant | 0.72 | ethionamide | Uncertain significance |
| hadA | 731865 | c.-65C>T | upstream_gene_variant | 0.78 | isoniazid | Uncertain significance |
| nusG | 734658 | c.405A>G | synonymous_variant | 0.48 | rifampicin | Not assoc w R |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 0.52 | rifampicin | Not assoc w R |
| rpoC | 765612 | p.His748Pro | missense_variant | 0.41 | rifampicin | Uncertain significance |
| rpoC | 766488 | p.Pro1040Arg | missense_variant | 0.62 | rifampicin | Uncertain significance |
| 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 | 0.59 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| mmpS5 | 779615 | c.-710C>G | upstream_gene_variant | 0.57 | bedaquiline | Uncertain significance |
| clofazimine | Uncertain significance | |||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 0.66 | isoniazid | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| moxifloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| Rv1258c | 1406760 | c.580_581insC | frameshift_variant | 0.52 | isoniazid | Uncertain significance |
| pyrazinamide | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rpsA | 1834177 | c.636A>C | synonymous_variant | 0.72 | pyrazinamide | Not assoc w R - Interim |
| tsnR | 1854300 | p.Leu232Pro | missense_variant | 0.43 | 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 | 0.65 | isoniazid | Not assoc w R |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 0.59 | pyrazinamide | Not assoc w R |
| PPE35 | 2168149 | p.Pro822Ser | missense_variant | 0.3 | pyrazinamide | 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 | |||||
| Rv2680 | 2995848 | c.-257G>A | upstream_gene_variant | 0.46 | capreomycin | Uncertain significance |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 0.73 | cycloserine | Uncertain significance |
| whiB7 | 3568435 | c.242_245delGTCCinsATCCTT | frameshift_variant&missense_variant | 0.75 | amikacin | Uncertain significance |
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| whiB7 | 3568442 | p.Lys80Gln | missense_variant | 0.63 | amikacin | Uncertain significance |
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| whiB7 | 3568443 | p.His79Gln | missense_variant | 0.59 | amikacin | Uncertain significance |
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| whiB7 | 3568854 | c.-176delG | upstream_gene_variant | 0.6 | amikacin | Uncertain significance |
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| whiB7 | 3569220 | c.-541C>T | upstream_gene_variant | 0.66 | amikacin | Uncertain significance |
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| Rv3236c | 3612813 | p.Thr102Ala | missense_variant | 0.51 | pyrazinamide | Not assoc w R - Interim |
| Rv3236c | 3613636 | c.-520A>G | upstream_gene_variant | 0.37 | pyrazinamide | Not assoc w R |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 0.53 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| mtrB | 3626562 | p.Pro18Ser | missense_variant | 0.6 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| clpC1 | 4039729 | p.Asp326Asn | missense_variant | 0.37 | pyrazinamide | 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 | 0.42 | ethambutol | Not assoc w R |
| embA | 4245417 | p.Gly729Arg | missense_variant | 0.44 | ethambutol | Uncertain significance |
| embB | 4247028 | p.Leu172Arg | missense_variant | 0.22 | ethambutol | Uncertain significance |
| aftB | 4267647 | p.Asp397Gly | missense_variant | 0.49 | ethambutol | Not assoc w R |
| ubiA | 4269298 | p.Ile179Thr | missense_variant | 0.34 | ethambutol | Uncertain significance |
| ethA | 4326513 | p.Thr321Pro | missense_variant | 0.68 | ethionamide | Uncertain significance |
| ethA | 4326676 | p.Ser266Arg | missense_variant | 0.67 | ethionamide | Uncertain significance |
| ethA | 4327301 | p.Asp58Gly | missense_variant | 0.4 | ethionamide | Uncertain significance |
| whiB6 | 4338595 | c.-75delG | upstream_gene_variant | 1.0 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Not assoc w R | |||||
| whiB6 | 4338732 | c.-211C>T | upstream_gene_variant | 0.73 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| gid | 4407588 | c.615A>G | synonymous_variant | 0.51 | streptomycin | Not assoc w R |
| gid | 4407927 | p.Glu92Asp | missense_variant | 0.53 | streptomycin | Not assoc w R |