Run ID: SRR29231338
Sample name:
Date: 2025-02-11T13:40:53.188638
Number of reads: 1362652
Percentage reads mapped: 99.57
Median coverage: 39.0
Strain: lineage4.1.1.3;lineage4.1.2
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage4.1 | Euro-American | None | 1.0 |
| lineage4.1.2 | Euro-American | None | 0.14 |
| lineage4.1.1.3 | Euro-American (X-type) | RD193 | 0.89 |
| lineage4 | Euro-American | None | 1.0 |
| lineage4.1.1 | Euro-American (X-type) | None | 0.86 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Ser450Leu | Assoc w R | |
| rpoC | p.Phe452Ser | Uncertain significance | Mutation from literature | |
| isoniazid | katG | p.Ser315Thr | Assoc w R | High-level resistance |
| ahpC | c.-48G>A | Uncertain significance | Mutation from literature | |
| ethambutol | embB | p.Met306Val | Assoc w R | |
| pyrazinamide | pncA | p.Val139Met | Assoc w R | |
| streptomycin | rpsL | p.Lys43Arg | Assoc w R | |
| fluoroquinolones | ||||
| moxifloxacin | gyrB | p.Ser447Phe | Assoc w R - Interim | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) |
| ofloxacin | ||||
| levofloxacin | gyrB | p.Ser447Phe | Assoc w R - Interim | |
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | ethA | c.597delC | Assoc w R | |
| ethR | p.Phe110Leu | Uncertain significance | Mutation from literature | |
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrB | 6579 | p.Ser447Phe | missense_variant | 0.83 | levofloxacin | Assoc w R - Interim | |
| moxifloxacin | Assoc w R - Interim | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) | |||||
| rpoB | 761155 | p.Ser450Leu | missense_variant | 0.94 | rifampicin | Assoc w R | |
| rpoC | 764724 | p.Phe452Ser | missense_variant | 0.91 | rifampicin | Uncertain significance | Mutation from literature |
| rpsL | 781687 | p.Lys43Arg | missense_variant | 0.93 | streptomycin | Assoc w R | |
| katG | 2155167 | p.Ser315Thr | missense_variant | 0.75 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2288827 | p.Val139Met | missense_variant | 1.0 | pyrazinamide | Assoc w R | |
| ahpC | 2726145 | c.-48G>A | upstream_gene_variant | 0.89 | isoniazid | Uncertain significance | Mutation from literature |
| embB | 4247429 | p.Met306Val | missense_variant | 0.88 | ethambutol | Assoc w R | |
| ethA | 4326876 | c.597delC | frameshift_variant | 0.86 | ethionamide | Assoc w R | |
| ethR | 4327876 | p.Phe110Leu | missense_variant | 0.2 | ethionamide | Uncertain significance | Mutation from literature |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence |
|---|---|---|---|---|---|---|
| gyrB | 6608 | p.Val457Leu | missense_variant | 0.86 | levofloxacin | Uncertain significance |
| moxifloxacin | Uncertain significance | |||||
| 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 | |||||
| Rv0565c | 657269 | p.Ser68Pro | missense_variant | 1.0 | ethionamide | Uncertain significance |
| rpoC | 765150 | p.Gly594Glu | missense_variant | 1.0 | rifampicin | Not assoc w R |
| mmpL5 | 775639 | p.Ile948Val | 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 | 800219 | c.-590T>C | upstream_gene_variant | 0.85 | linezolid | |
| rplC | 801354 | c.546G>A | synonymous_variant | 0.92 | linezolid | Not assoc w R - Interim |
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | kanamycin | |
| capreomycin | ||||||
| streptomycin | ||||||
| amikacin | ||||||
| tsnR | 1854300 | p.Leu232Pro | missense_variant | 1.0 | linezolid | Not assoc w R |
| tlyA | 1917972 | c.33A>G | synonymous_variant | 0.98 | capreomycin | 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 | |||||
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| Rv3083 | 3449616 | p.Met371Ile | missense_variant | 0.84 | ethionamide | Uncertain significance |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | rifampicin | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| alr | 3840263 | c.1158C>T | synonymous_variant | 0.19 | cycloserine | |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embC | 4242803 | p.Val981Leu | missense_variant | 1.0 | ethambutol | Not assoc w R |
| embB | 4249408 | c.2895G>A | synonymous_variant | 0.82 | 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 | 1.0 | kanamycin | |
| capreomycin | ||||||
| amikacin |