Run ID: SRR28389884
Sample name:
Date: 2024-05-22T15:03:30.197698
Number of reads: 5150023
Percentage reads mapped: 99.48
Median coverage: 136.0
Strain: lineage2.2.1.2;lineage4.1.1.3
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage2 | East-Asian | RD105 | 0.7 |
| lineage4.1 | Euro-American | None | 0.29 |
| lineage2.2.1 | East-Asian (Beijing) | RD105;RD207;RD181 | 0.71 |
| lineage4.1.1.3 | Euro-American (X-type) | RD193 | 0.33 |
| lineage2.2 | East-Asian (Beijing) | RD105;RD207 | 0.69 |
| lineage4 | Euro-American | None | 0.33 |
| lineage4.1.1 | Euro-American (X-type) | None | 0.31 |
| lineage2.2.1.2 | East-Asian (Beijing) | RD105;RD207;RD181;RD142 | 0.65 |
| 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 | ||||
| pyrazinamide | ||||
| streptomycin | rpsL | p.Lys43Arg | Assoc w R | |
| fluoroquinolones | ||||
| moxifloxacin | gyrA | p.Asp94Ala | Assoc w R | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) |
| ofloxacin | ||||
| levofloxacin | gyrA | p.Asp94Ala | Assoc w R | |
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | ||||
| clofazimine | ||||
| para-aminosalicylic_acid | folC | p.Glu40Gln | Mutation from literature | |
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7582 | p.Asp94Ala | missense_variant | 0.17 | moxifloxacin | Assoc w R | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) |
| levofloxacin | Assoc w R | ||||||
| rpoB | 761155 | p.Ser450Leu | missense_variant | 0.32 | rifampicin | Assoc w R | |
| rpsL | 781687 | p.Lys43Arg | missense_variant | 0.35 | streptomycin | Assoc w R | |
| katG | 2155168 | p.Ser315Thr | missense_variant | 0.28 | isoniazid | Assoc w R | High-level resistance |
| folC | 2747481 | p.Glu40Gln | missense_variant | 0.3 | para-aminosalicylic_acid | 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 | 0.78 | clofazimine | Not assoc w R |
| pretomanid | ||||||
| delamanid | Not assoc w R - Interim | |||||
| mshA | 575907 | p.Ala187Val | missense_variant | 0.75 | ethionamide | Not assoc w R |
| isoniazid | Not assoc w R | |||||
| ccsA | 620625 | p.Ile245Met | missense_variant | 0.7 | capreomycin | Not assoc w R |
| amikacin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 0.7 | ethionamide | Not assoc w R - Interim |
| Rv0565c | 657142 | p.Arg110His | missense_variant | 0.74 | ethionamide | Uncertain significance |
| Rv0565c | 657269 | p.Ser68Pro | missense_variant | 0.28 | ethionamide | Uncertain significance |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 0.73 | rifampicin | Not assoc w R |
| rpoC | 764766 | p.Ala466Val | missense_variant | 0.24 | rifampicin | Uncertain significance |
| rpoC | 764888 | p.Leu507Val | missense_variant | 0.27 | rifampicin | Uncertain significance |
| rpoC | 765150 | p.Gly594Glu | missense_variant | 0.25 | 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 | 0.69 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| mmpL5 | 776182 | p.Asp767Asn | missense_variant | 0.67 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R | |||||
| mmpS5 | 779615 | c.-710C>G | upstream_gene_variant | 0.75 | clofazimine | |
| bedaquiline | ||||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| rplC | 800219 | c.-590T>C | upstream_gene_variant | 0.3 | linezolid | |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 0.65 | moxifloxacin | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| fbiC | 1302935 | p.Pro2Arg | missense_variant | 0.68 | clofazimine | |
| pretomanid | ||||||
| delamanid | ||||||
| Rv1258c | 1406760 | c.580_581insC | frameshift_variant | 0.6 | 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 | 0.66 | 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 | 2154678 | c.1434G>C | synonymous_variant | 0.28 | isoniazid | Not assoc w R - Interim |
| katG | 2154724 | p.Arg463Leu | missense_variant | 0.74 | isoniazid | Not assoc w R |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 0.6 | 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 | |||||
| ahpC | 2726409 | p.Asp73His | missense_variant | 0.29 | isoniazid | Uncertain significance |
| Rv2477c | 2782447 | c.1596C>T | synonymous_variant | 0.69 | ethambutol | Not assoc w R - Interim |
| moxifloxacin | ||||||
| streptomycin | Not assoc w R - Interim | |||||
| levofloxacin | ||||||
| kanamycin | ||||||
| rifampicin | Not assoc w R - Interim | |||||
| amikacin | ||||||
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| Rv3083 | 3449670 | c.1167C>A | synonymous_variant | 0.31 | ethionamide | |
| whiB7 | 3568431 | c.249C>G | synonymous_variant | 0.17 | streptomycin | |
| amikacin | ||||||
| kanamycin | ||||||
| Rv3236c | 3612813 | p.Thr102Ala | missense_variant | 0.69 | 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 | 0.67 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| panD | 4044386 | c.-105C>T | upstream_gene_variant | 0.31 | pyrazinamide | |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embC | 4242803 | p.Val981Leu | missense_variant | 0.33 | ethambutol | Not assoc w R |
| embA | 4243460 | c.228C>T | synonymous_variant | 0.72 | ethambutol | Not assoc w R |
| embB | 4249408 | c.2895G>A | synonymous_variant | 0.33 | ethambutol | Not assoc w R |
| embB | 4249678 | c.3165C>A | synonymous_variant | 0.33 | ethambutol | Not assoc w R - Interim |
| aftB | 4267647 | p.Asp397Gly | missense_variant | 0.69 | 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 | 4338732 | c.-211C>T | upstream_gene_variant | 1.0 | capreomycin | |
| amikacin | ||||||
| kanamycin | ||||||
| gid | 4407588 | c.615A>G | synonymous_variant | 0.69 | streptomycin | Not assoc w R |
| gid | 4407927 | p.Glu92Asp | missense_variant | 0.69 | streptomycin | Not assoc w R |