Run ID: SRR28351324
Sample name:
Date: 2024-10-05T12:11:12.163913
Number of reads: 7730854
Percentage reads mapped: 99.7
Median coverage: 226.5
Strain: lineage3;lineage4.4.1.2
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage3 | East-African-Indian | RD750 | 0.29 |
| lineage4.4.1.2 | Euro-American | None | 0.67 |
| lineage4.4.1 | Euro-American (S-type) | None | 0.69 |
| lineage4 | Euro-American | None | 0.7 |
| lineage4.4 | Euro-American | None | 0.68 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Leu430Pro | Assoc w R | |
| p.Asp435Gly | Assoc w R - Interim | Expert rule: Non-silent variants in RRDR of rpoB | ||
| p.Ser450Leu | Assoc w R | |||
| rpoC | p.Leu527Val | Uncertain significance | Mutation from literature | |
| isoniazid | katG | p.Ser315Thr | Assoc w R | High-level resistance |
| ethambutol | embB | p.Met306Ile | Assoc w R | |
| p.Glu504Asp | Uncertain significance | Mutation from literature | ||
| pyrazinamide | ||||
| streptomycin | rrs | n.514A>C | Assoc w R | |
| fluoroquinolones | ||||
| moxifloxacin | gyrA | p.Asp94Tyr | Assoc w R | High-level resistance |
| ofloxacin | ||||
| levofloxacin | gyrA | p.Asp94Tyr | 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 | 7581 | p.Asp94Tyr | missense_variant | 0.81 | levofloxacin | Assoc w R | |
| moxifloxacin | Assoc w R | High-level resistance | |||||
| rpoB | 761095 | p.Leu430Pro | missense_variant | 0.71 | rifampicin | Assoc w R | |
| rpoB | 761110 | p.Asp435Gly | missense_variant | 0.72 | rifampicin | Assoc w R - Interim | Expert rule: Non-silent variants in RRDR of rpoB |
| rpoB | 761155 | p.Ser450Leu | missense_variant | 0.23 | rifampicin | Assoc w R | |
| rpoC | 764948 | p.Leu527Val | missense_variant | 0.27 | rifampicin | Uncertain significance | Mutation from literature |
| rrs | 1472359 | n.514A>C | non_coding_transcript_exon_variant | 0.19 | streptomycin | Assoc w R | |
| katG | 2155168 | p.Ser315Thr | missense_variant | 1.0 | isoniazid | Assoc w R | High-level resistance |
| embB | 4247431 | p.Met306Ile | missense_variant | 0.26 | ethambutol | Assoc w R | |
| embB | 4248025 | p.Glu504Asp | missense_variant | 0.6 | ethambutol | Uncertain significance | Mutation from literature |
| 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 | |||||
| fgd1 | 491742 | c.960T>C | synonymous_variant | 0.15 | pretomanid | |
| delamanid | Not assoc w R - Interim | |||||
| clofazimine | Not assoc w R | |||||
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 0.21 | ethionamide | Not assoc w R - Interim |
| mmaA3 | 737899 | p.Val84Gly | missense_variant | 0.24 | isoniazid | |
| rpoB | 759746 | c.-61C>T | upstream_gene_variant | 0.22 | rifampicin | Not assoc w R |
| rpoB | 762434 | c.2628T>G | synonymous_variant | 0.4 | rifampicin | Not assoc w R |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 0.25 | 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 | 0.28 | 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 |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 0.41 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| Rv1258c | 1406221 | p.Ala374Pro | missense_variant | 0.3 | streptomycin | Uncertain significance |
| pyrazinamide | Uncertain significance | |||||
| isoniazid | Uncertain significance | |||||
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | kanamycin | |
| capreomycin | ||||||
| streptomycin | ||||||
| amikacin | ||||||
| rpsA | 1833804 | p.Ala88Gly | missense_variant | 0.39 | pyrazinamide | |
| tsnR | 1854300 | p.Leu232Pro | missense_variant | 1.0 | linezolid | Not assoc w R |
| tlyA | 1917670 | c.-270G>A | upstream_gene_variant | 0.36 | capreomycin | |
| tlyA | 1917851 | c.-89C>A | upstream_gene_variant | 0.24 | capreomycin | |
| tlyA | 1917972 | c.33A>G | synonymous_variant | 1.0 | capreomycin | Not assoc w R |
| ndh | 2102990 | p.Val18Ala | missense_variant | 0.68 | isoniazid | Not assoc w R |
| delamanid | Uncertain significance | |||||
| ethionamide | Uncertain significance | |||||
| katG | 2154724 | p.Arg463Leu | missense_variant | 0.34 | isoniazid | Not assoc w R |
| PPE35 | 2167770 | p.Ser948Ile | missense_variant | 0.76 | pyrazinamide | Not assoc w R |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 0.21 | pyrazinamide | Not assoc w R |
| PPE35 | 2169840 | p.Gly258Asp | missense_variant | 0.77 | 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 | |||||
| pncA | 2289047 | c.195C>T | synonymous_variant | 0.3 | pyrazinamide | Not assoc w R |
| pncA | 2289365 | c.-125delC | upstream_gene_variant | 0.37 | pyrazinamide | |
| ahpC | 2726105 | c.-88G>A | upstream_gene_variant | 0.25 | isoniazid | Not assoc w R |
| Rv2477c | 2782498 | c.1545C>T | synonymous_variant | 0.36 | 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 | 2783786 | p.Arg86His | missense_variant | 0.26 | kanamycin | Uncertain significance |
| levofloxacin | Uncertain significance | |||||
| moxifloxacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rifampicin | Uncertain significance | |||||
| ethambutol | Not assoc w R | |||||
| amikacin | Uncertain significance | |||||
| pepQ | 2860213 | p.Pro69Leu | missense_variant | 0.61 | bedaquiline | Uncertain significance |
| clofazimine | Uncertain significance | |||||
| Rv2681 | 2997175 | p.Arg146Gln | missense_variant | 0.71 | capreomycin | Uncertain significance |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| Rv3083 | 3448608 | c.105G>A | synonymous_variant | 0.68 | ethionamide | Not assoc w R - Interim |
| Rv3236c | 3613591 | c.-475G>A | upstream_gene_variant | 0.25 | pyrazinamide | |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 0.99 | rifampicin | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| panD | 4044872 | c.-591C>T | upstream_gene_variant | 0.28 | pyrazinamide | |
| glpK | 4138622 | c.1134C>T | synonymous_variant | 0.35 | 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 | 4238963 | c.-900C>T | upstream_gene_variant | 0.67 | ethambutol | Not assoc w R |
| embC | 4242075 | p.Arg738Gln | missense_variant | 0.32 | ethambutol | Not assoc w R |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embA | 4243218 | c.-15C>G | upstream_gene_variant | 0.64 | ethambutol | Uncertain significance |
| embB | 4249012 | c.2499G>A | synonymous_variant | 0.66 | 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 | 0.99 | kanamycin | |
| capreomycin | ||||||
| amikacin | ||||||
| gid | 4407588 | c.615A>G | synonymous_variant | 0.22 | streptomycin | Not assoc w R |
| gid | 4407946 | p.Leu86His | missense_variant | 0.7 | streptomycin | Uncertain significance |