Run ID: SRR29017104
Sample name:
Date: 2025-07-27T23:13:32.188170
Number of reads: 1503713
Percentage reads mapped: 99.39
Median coverage: 46.0
Strain: lineage3
Spoligotype:
Drug-resistance: XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage3 | East-African-Indian | RD750 | 100.0 |
| 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 | embB | p.Met306Val | Assoc w R | |
| pyrazinamide | pncA | p.Val7Ala | Assoc w R - Interim | |
| streptomycin | rrs | n.514A>C | Assoc w R | |
| gid | p.Ser70Asn | Assoc w R | ||
| fluoroquinolones | ||||
| moxifloxacin | gyrA | p.Asp94Asn | Assoc w R | High-level resistance |
| ofloxacin | ||||
| levofloxacin | gyrA | p.Asp94Asn | Assoc w R | |
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | inhA | c.-777C>T | Assoc w R | Alias fabG1_c.-15C>T |
| clofazimine | mmpR5 | c.393dupG | Assoc w R | Can only confer resistance if genetically linked to a functional MmpL5 |
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | mmpR5 | c.393dupG | 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 | 7581 | p.Asp94Asn | missense_variant | 1.0 | levofloxacin | Assoc w R | |
| moxifloxacin | Assoc w R | High-level resistance | |||||
| rpoB | 761155 | p.Ser450Leu | missense_variant | 1.0 | rifampicin | Assoc w R | |
| mmpR5 | 779381 | c.393dupG | frameshift_variant | 0.66 | 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 | |||||
| rrs | 1472359 | n.514A>C | non_coding_transcript_exon_variant | 1.0 | streptomycin | Assoc w R | |
| inhA | 1673425 | c.-777C>T | upstream_gene_variant | 1.0 | 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 | 1.0 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2289222 | p.Val7Ala | missense_variant | 0.97 | pyrazinamide | Assoc w R - Interim | |
| embB | 4247429 | p.Met306Val | missense_variant | 1.0 | ethambutol | Assoc w R | |
| gid | 4407994 | p.Ser70Asn | missense_variant | 1.0 | streptomycin | 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 | |||||
| fgd1 | 491742 | c.960T>C | synonymous_variant | 1.0 | clofazimine | Not assoc w R |
| delamanid | Not assoc w R - Interim | |||||
| pretomanid | Uncertain significance | |||||
| Rv0565c | 656546 | p.Ile309Val | missense_variant | 1.0 | ethionamide | Uncertain significance |
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 1.0 | ethionamide | Not assoc w R - Interim |
| rpoB | 759746 | c.-61C>T | upstream_gene_variant | 1.0 | rifampicin | Not assoc w R |
| rpoB | 762434 | c.2628T>G | synonymous_variant | 1.0 | rifampicin | Not assoc w R |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 1.0 | rifampicin | Not assoc w R |
| rpoC | 764817 | p.Val483Gly | missense_variant | 1.0 | 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 | 1.0 | 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 |
| rplC | 800434 | c.-374_-343delGGGGAGCACCGGACCCGGATACGGGCTCGAGT | upstream_gene_variant | 1.0 | linezolid | Uncertain significance |
| rplC | 800434 | c.-374_-343delGGGGAGCACCGGACCCGGATACGGGCTCGAGT | upstream_gene_variant | 1.0 | linezolid | Uncertain significance |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 1.0 | isoniazid | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| moxifloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| 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 |
| Rv1979c | 2223293 | c.-129A>G | upstream_gene_variant | 1.0 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| pncA | 2289365 | c.-125delC | upstream_gene_variant | 1.0 | pyrazinamide | Uncertain significance |
| ahpC | 2726105 | c.-88G>A | upstream_gene_variant | 1.0 | isoniazid | Not assoc w R |
| Rv2477c | 2782498 | c.1545C>T | synonymous_variant | 1.0 | amikacin | Not assoc w R |
| ethambutol | Not assoc w R | |||||
| kanamycin | Not assoc w R | |||||
| levofloxacin | Not assoc w R | |||||
| moxifloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| streptomycin | Not assoc w R - Interim | |||||
| Rv2752c | 3065226 | c.966G>A | synonymous_variant | 1.0 | ethambutol | Not assoc w R - Interim |
| isoniazid | Not assoc w R - Interim | |||||
| levofloxacin | Not assoc w R - Interim | |||||
| moxifloxacin | Not assoc w R - Interim | |||||
| rifampicin | Not assoc w R - Interim | |||||
| Rv2752c | 3066110 | p.Gly28Ser | missense_variant | 1.0 | ethambutol | Uncertain significance |
| isoniazid | Uncertain significance | |||||
| levofloxacin | Uncertain significance | |||||
| moxifloxacin | Uncertain significance | |||||
| rifampicin | Uncertain significance | |||||
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | Uncertain significance |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| panD | 4044872 | c.-591C>T | upstream_gene_variant | 1.0 | pyrazinamide | Uncertain significance |
| glpK | 4138622 | c.1134C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| isoniazid | Not assoc w R | |||||
| levofloxacin | Not assoc w R | |||||
| moxifloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| streptomycin | Not assoc w R - Interim | |||||
| glpK | 4139246 | c.510C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| isoniazid | Not assoc w R - Interim | |||||
| levofloxacin | Not assoc w R | |||||
| moxifloxacin | Not assoc w R - Interim | |||||
| rifampicin | Not assoc w R | |||||
| streptomycin | Not assoc w R - Interim | |||||
| embC | 4242075 | p.Arg738Gln | missense_variant | 1.0 | ethambutol | Not assoc w R |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| 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 | 1.0 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| gid | 4407588 | c.615A>G | synonymous_variant | 1.0 | streptomycin | Not assoc w R |