Run ID: SRR3105752
Sample name:
Date: 2024-04-16T11:06:14.653334
Number of reads: 6128604
Percentage reads mapped: 98.82
Median coverage: 104.0
Strain: lineage1.2.2.2;lineage4.1.2
Spoligotype:
Drug-resistance: MDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage1.2.2 | Indo-Oceanic | RD239 | 0.74 |
| lineage1.2.2.2 | Indo-Oceanic | RD239 | 0.72 |
| lineage4.1 | Euro-American | None | 0.25 |
| lineage4.1.2 | Euro-American | None | 0.27 |
| lineage4 | Euro-American | None | 0.27 |
| lineage1 | Indo-Oceanic | RD239 | 0.7 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.Leu430Pro | Assoc w R | |
| p.Asp435Gly | Assoc w R - Interim | |||
| p.Ser450Leu | Assoc w R | |||
| isoniazid | katG | p.Ser315Thr | Assoc w R | High-level resistance |
| ethambutol | embB | p.Met306Ile | Assoc w R | |
| p.Gly406Asp | Assoc w R | |||
| pyrazinamide | pncA | p.Thr160Pro | Assoc w R | |
| streptomycin | rpsL | p.Lys43Arg | Assoc w R | |
| gid | c.351dupG | Assoc w R | ||
| fluoroquinolones | ||||
| moxifloxacin | ||||
| ofloxacin | ||||
| levofloxacin | ||||
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | ||||
| kanamycin | eis | c.-10G>A | Assoc w R | Can only confer resistance if genetically linked to a functional Eis |
| cycloserine | ||||
| ethionamide | ||||
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ddn | p.Trp139* | Assoc w R - Interim | |
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| rpoB | 761095 | p.Leu430Pro | missense_variant | 0.14 | rifampicin | Assoc w R | |
| rpoB | 761110 | p.Asp435Gly | missense_variant | 0.18 | rifampicin | Assoc w R - Interim | |
| rpoB | 761155 | p.Ser450Leu | missense_variant | 0.81 | rifampicin | Assoc w R | |
| rpsL | 781687 | p.Lys43Arg | missense_variant | 0.29 | streptomycin | Assoc w R | |
| katG | 2155168 | p.Ser315Thr | missense_variant | 1.0 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2288764 | p.Thr160Pro | missense_variant | 0.3 | pyrazinamide | Assoc w R | |
| eis | 2715342 | c.-10G>A | upstream_gene_variant | 0.8 | kanamycin | Assoc w R | Can only confer resistance if genetically linked to a functional Eis |
| ddn | 3987259 | p.Trp139* | stop_gained | 0.23 | pretomanid | Assoc w R - Interim | Confers DLM-PMD cross-resistance |
| delamanid | Assoc w R - Interim | ||||||
| embB | 4247431 | p.Met306Ile | missense_variant | 0.28 | ethambutol | Assoc w R | |
| embB | 4247730 | p.Gly406Asp | missense_variant | 0.78 | ethambutol | Assoc w R | |
| gid | 4407851 | c.351dupG | frameshift_variant | 0.69 | streptomycin | Assoc w R |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence |
|---|---|---|---|---|---|---|
| gyrB | 5075 | c.-165C>T | upstream_gene_variant | 0.71 | levofloxacin | |
| moxifloxacin | ||||||
| gyrB | 6112 | p.Met291Ile | missense_variant | 0.7 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 7268 | c.-34C>T | upstream_gene_variant | 0.79 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| 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 | 8452 | p.Ala384Val | missense_variant | 0.72 | levofloxacin | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| gyrA | 9143 | c.1842T>C | synonymous_variant | 0.73 | 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 | 13298 | p.Ile87Met | missense_variant | 0.72 | isoniazid | Not assoc w R |
| Rv0010c | 13460 | c.99T>C | synonymous_variant | 0.66 | isoniazid | Not assoc w R |
| Rv0010c | 13482 | p.Ala26Val | missense_variant | 0.68 | isoniazid | Not assoc w R |
| Rv0010c | 13699 | c.-141A>G | upstream_gene_variant | 0.84 | isoniazid | Not assoc w R |
| fgd1 | 491591 | p.Lys270Met | missense_variant | 0.18 | clofazimine | Not assoc w R |
| pretomanid | ||||||
| delamanid | Uncertain significance | |||||
| fgd1 | 491742 | c.960T>C | synonymous_variant | 0.77 | clofazimine | Not assoc w R |
| pretomanid | ||||||
| delamanid | Not assoc w R - Interim | |||||
| Rv0565c | 657269 | p.Ser68Pro | missense_variant | 0.34 | ethionamide | Uncertain significance |
| Rv0565c | 657578 | c.-108T>C | upstream_gene_variant | 0.84 | ethionamide | |
| nusG | 734116 | c.-138T>C | upstream_gene_variant | 0.68 | rifampicin | Not assoc w R |
| rpoB | 760115 | c.309C>T | synonymous_variant | 0.28 | rifampicin | Not assoc w R |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 0.65 | rifampicin | Not assoc w R |
| rpoC | 763884 | p.Ala172Val | missense_variant | 0.8 | rifampicin | Not assoc w R |
| rpoC | 763886 | c.517C>A | synonymous_variant | 0.81 | rifampicin | Not assoc w R |
| rpoC | 764263 | c.894G>A | synonymous_variant | 0.25 | rifampicin | Not assoc w R |
| rpoC | 765148 | c.1779C>T | synonymous_variant | 0.82 | rifampicin | Not assoc w R - Interim |
| rpoC | 765150 | p.Gly594Glu | missense_variant | 0.17 | 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 | 775895 | c.2586C>T | synonymous_variant | 0.28 | clofazimine | |
| bedaquiline | ||||||
| mmpL5 | 776100 | p.Thr794Ile | missense_variant | 0.69 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| mmpL5 | 777320 | c.1161C>G | synonymous_variant | 0.21 | clofazimine | Not assoc w R - Interim |
| bedaquiline | Not assoc w R - Interim | |||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| rplC | 800200 | c.-609C>G | upstream_gene_variant | 0.25 | linezolid | |
| rplC | 800357 | c.-452C>A | upstream_gene_variant | 0.8 | linezolid | Not assoc w R |
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 0.64 | moxifloxacin | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| embR | 1417019 | p.Cys110Tyr | missense_variant | 0.71 | ethambutol | Not assoc w R |
| embR | 1417554 | c.-207C>G | upstream_gene_variant | 0.71 | ethambutol | |
| embR | 1417793 | c.-446C>T | upstream_gene_variant | 0.77 | ethambutol | |
| rrs | 1471644 | n.-202T>C | upstream_gene_variant | 0.15 | streptomycin | |
| kanamycin | ||||||
| capreomycin | ||||||
| amikacin | ||||||
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | streptomycin | |
| kanamycin | ||||||
| capreomycin | ||||||
| amikacin | ||||||
| tsnR | 1853974 | c.369C>T | synonymous_variant | 0.74 | linezolid | Not assoc w R |
| 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 |
| bacA | 2062922 | p.Ile603Val | missense_variant | 0.71 | streptomycin | Not assoc w R |
| kanamycin | Not assoc w R | |||||
| capreomycin | Not assoc w R | |||||
| amikacin | Not assoc w R | |||||
| katG | 2154724 | p.Arg463Leu | missense_variant | 0.76 | isoniazid | Not assoc w R |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 0.7 | pyrazinamide | Not assoc w R |
| PPE35 | 2168742 | p.Gly624Asp | missense_variant | 0.83 | pyrazinamide | Uncertain significance |
| Rv1979c | 2222308 | p.Asp286Gly | missense_variant | 0.76 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| Rv1979c | 2223293 | c.-129A>G | upstream_gene_variant | 1.0 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| Rv1979c | 2223553 | c.-389C>A | upstream_gene_variant | 0.78 | clofazimine | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| kasA | 2518076 | c.-39C>T | upstream_gene_variant | 0.28 | isoniazid | |
| kasA | 2518132 | c.18C>T | synonymous_variant | 0.73 | isoniazid | |
| ahpC | 2726051 | c.-142G>A | upstream_gene_variant | 0.78 | isoniazid | |
| Rv2681 | 2997508 | p.Thr257Ile | missense_variant | 0.6 | capreomycin | |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| Rv3083 | 3448714 | p.Asp71His | missense_variant | 0.78 | ethionamide | Uncertain significance |
| Rv3236c | 3611974 | c.1143A>C | synonymous_variant | 0.21 | pyrazinamide | Not assoc w R - Interim |
| lpqB | 3624486 | p.Asp142Gly | missense_variant | 0.68 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| mtrB | 3626467 | c.147G>A | synonymous_variant | 0.68 | bedaquiline | Not assoc w R - Interim |
| rifampicin | Not assoc w R | |||||
| clpC1 | 4040517 | p.Val63Ala | missense_variant | 0.71 | pyrazinamide | Not assoc w R - Interim |
| glpK | 4138377 | p.Val460Ala | missense_variant | 0.78 | ethambutol | Not assoc w R |
| moxifloxacin | Not assoc w R | |||||
| streptomycin | Not assoc w R | |||||
| levofloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| isoniazid | Not assoc w R | |||||
| embC | 4240671 | p.Thr270Ile | missense_variant | 0.71 | ethambutol | Not assoc w R |
| embC | 4240975 | c.1113C>T | synonymous_variant | 0.73 | ethambutol | Not assoc w R - Interim |
| embC | 4241042 | p.Asn394Asp | missense_variant | 0.6 | ethambutol | Not assoc w R |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embC | 4242803 | p.Val981Leu | missense_variant | 0.24 | ethambutol | Not assoc w R |
| embB | 4245710 | c.-804G>A | upstream_gene_variant | 0.74 | ethambutol | |
| embA | 4245969 | p.Pro913Ser | missense_variant | 0.72 | ethambutol | Not assoc w R |
| embB | 4247646 | p.Glu378Ala | missense_variant | 0.69 | ethambutol | Not assoc w R |
| embB | 4247828 | p.Ala439Thr | missense_variant | 0.67 | ethambutol | Uncertain significance |
| ubiA | 4269307 | p.Phe176Ser | missense_variant | 0.3 | ethambutol | Uncertain significance |
| ubiA | 4269387 | p.Glu149Asp | missense_variant | 0.71 | ethambutol | Not assoc w R |
| ubiA | 4269606 | c.228T>C | synonymous_variant | 0.66 | ethambutol | Not assoc w R |
| ethA | 4326148 | c.1326G>T | synonymous_variant | 0.72 | ethionamide | Not assoc w R - Interim |
| ethA | 4326197 | p.Val426Gly | missense_variant | 0.27 | ethionamide | |
| ethA | 4326439 | p.Asn345Lys | missense_variant | 0.82 | ethionamide | Uncertain significance |
| whiB6 | 4338203 | p.Arg107Cys | missense_variant | 0.72 | capreomycin | Not assoc w R |
| amikacin | Not assoc w R | |||||
| kanamycin | 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 | 4338603 | c.-82C>T | upstream_gene_variant | 0.8 | 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 | 0.67 | streptomycin | Not assoc w R |
| gid | 4407873 | c.330G>T | synonymous_variant | 0.7 | streptomycin | Not assoc w R |