Run ID: SRR25827790
Sample name:
Date: 2024-04-16T11:49:42.617644
Number of reads: 8026352
Percentage reads mapped: 99.09
Median coverage: 274.0
Strain: lineage2.2.1;lineage3
Spoligotype:
Drug-resistance: XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage3 | East-African-Indian | RD750 | 0.44 |
| lineage2 | East-Asian | RD105 | 0.57 |
| lineage2.2.1 | East-Asian (Beijing) | RD105;RD207;RD181 | 0.56 |
| lineage2.2 | East-Asian (Beijing) | RD105;RD207 | 0.58 |
| 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 | embA | c.-12C>T | Uncertain significance | Mutation from literature |
| pyrazinamide | pncA | p.Lys96Thr | 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 | ethA | c.1034delA | Assoc w R | |
| clofazimine | mmpR5 | p.Gln115* | Assoc w R | Can only confer resistance if genetically linked to a functional MmpL5 |
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | mmpR5 | p.Gln115* | Assoc w R | Can only confer resistance if genetically linked to a functional MmpL5 |
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7582 | p.Asp94Gly | missense_variant | 0.55 | levofloxacin | Assoc w R | |
| moxifloxacin | Assoc w R | High-level resistance | |||||
| rpoB | 761155 | p.Ser450Leu | missense_variant | 0.63 | rifampicin | Assoc w R | |
| mmpR5 | 779332 | p.Gln115* | stop_gained | 0.5 | 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 | 0.53 | streptomycin | Assoc w R | |
| katG | 2155168 | p.Ser315Thr | missense_variant | 0.54 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2288955 | p.Lys96Thr | missense_variant | 0.6 | pyrazinamide | Assoc w R | |
| embA | 4243221 | c.-12C>T | upstream_gene_variant | 0.58 | ethambutol | Uncertain significance | Mutation from literature |
| ethA | 4326439 | c.1034delA | frameshift_variant | 0.58 | ethionamide | Assoc w R |
| 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 | 7585 | p.Ser95Thr | missense_variant | 1.0 | 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 | 13628 | c.-71delT | upstream_gene_variant | 0.59 | isoniazid | Uncertain significance |
| Rv0010c | 13897 | c.-339C>T | upstream_gene_variant | 0.47 | isoniazid | |
| 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 | 0.59 | ethionamide | Not assoc w R |
| isoniazid | Not assoc w R | |||||
| ccsA | 620625 | p.Ile245Met | missense_variant | 0.58 | capreomycin | Not assoc w R |
| amikacin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 1.0 | ethionamide | Not assoc w R - Interim |
| Rv0565c | 657142 | p.Arg110His | missense_variant | 0.58 | ethionamide | Uncertain significance |
| rpoB | 759746 | c.-61C>T | upstream_gene_variant | 0.42 | rifampicin | Not assoc w R |
| rpoB | 762434 | c.2628T>G | synonymous_variant | 0.46 | rifampicin | Not assoc w R |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 1.0 | 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 | 0.57 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R | |||||
| mmpS5 | 779615 | c.-710C>G | upstream_gene_variant | 0.57 | clofazimine | |
| bedaquiline | ||||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | 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 | |||||
| fbiC | 1303326 | c.396C>T | synonymous_variant | 0.58 | clofazimine | Not assoc w R - Interim |
| pretomanid | ||||||
| delamanid | Not assoc w R - Interim | |||||
| Rv1258c | 1406760 | c.580_581insC | frameshift_variant | 0.52 | 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 | 0.53 | pyrazinamide | Not assoc w R - Interim |
| 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 | 1.0 | isoniazid | Not assoc w R |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 1.0 | pyrazinamide | Not assoc w R |
| PPE35 | 2169053 | c.1560T>C | synonymous_variant | 0.16 | pyrazinamide | Not assoc w R |
| PPE35 | 2169063 | p.Met517Thr | missense_variant | 0.15 | pyrazinamide | |
| Rv1979c | 2222357 | p.Thr270Ala | missense_variant | 0.5 | clofazimine | Uncertain significance |
| bedaquiline | Uncertain significance | |||||
| Rv1979c | 2223293 | c.-129A>G | upstream_gene_variant | 1.0 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| pncA | 2289047 | c.195C>T | synonymous_variant | 0.43 | pyrazinamide | Not assoc w R |
| pncA | 2289365 | c.-125delC | upstream_gene_variant | 0.44 | pyrazinamide | |
| ahpC | 2726105 | c.-88G>A | upstream_gene_variant | 0.38 | isoniazid | Not assoc w R |
| folC | 2747481 | p.Glu40Lys | missense_variant | 0.52 | para-aminosalicylic_acid | |
| Rv2477c | 2782498 | c.1545C>T | synonymous_variant | 0.49 | 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 | |||||
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| whiB7 | 3568425 | c.255T>G | synonymous_variant | 0.15 | streptomycin | |
| amikacin | ||||||
| kanamycin | ||||||
| Rv3236c | 3612813 | p.Thr102Ala | missense_variant | 0.6 | pyrazinamide | Not assoc w R - Interim |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| mtrB | 3626562 | p.Pro18Ser | missense_variant | 0.57 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| alr | 3840357 | c.1061_1063delCGC | disruptive_inframe_deletion | 0.5 | cycloserine | |
| alr | 3841362 | p.Thr20Met | missense_variant | 0.53 | cycloserine | |
| rpoA | 3877960 | p.Val183Gly | missense_variant | 0.52 | rifampicin | Uncertain significance |
| panD | 4044703 | c.-422C>G | upstream_gene_variant | 0.45 | pyrazinamide | |
| panD | 4044872 | c.-591C>T | upstream_gene_variant | 0.4 | pyrazinamide | |
| glpK | 4138622 | c.1134C>T | synonymous_variant | 0.43 | 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 | 4240009 | c.147G>A | synonymous_variant | 0.4 | ethambutol | Not assoc w R - Interim |
| embC | 4242075 | p.Arg738Gln | missense_variant | 0.46 | 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 | 0.54 | ethambutol | Not assoc w R |
| embB | 4247028 | p.Leu172Arg | missense_variant | 0.18 | ethambutol | |
| embB | 4247429 | c.916_918delATGinsCT | frameshift_variant&missense_variant | 0.57 | ethambutol | |
| aftB | 4267647 | p.Asp397Gly | missense_variant | 0.56 | ethambutol | Not assoc w R |
| whiB6 | 4338358 | p.Ala55Asp | missense_variant | 0.5 | capreomycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| kanamycin | 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 | 1.0 | capreomycin | |
| amikacin | ||||||
| kanamycin | ||||||
| gid | 4407588 | c.615A>G | synonymous_variant | 1.0 | streptomycin | Not assoc w R |
| gid | 4407927 | p.Glu92Asp | missense_variant | 0.62 | streptomycin | Not assoc w R |