Run ID: SRR6458434
Sample name:
Date: 2024-05-20T09:07:51.886408
Number of reads: 1917510
Percentage reads mapped: 97.46
Median coverage: 79.5
Strain: lineage4.3.3
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage4.3 | Euro-American (LAM) | None | 0.99 |
| lineage4 | Euro-American | None | 1.0 |
| lineage4.3.3 | Euro-American (LAM) | RD115 | 1.0 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.His445Asp | 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 | embA | c.-12C>T | Uncertain significance | Mutation from literature |
| embB | p.Gln497Arg | Assoc w R | ||
| pyrazinamide | pncA | p.Asp49Gly | Assoc w R | |
| streptomycin | rrs | n.514A>C | Assoc w R | |
| n.888G>A | Uncertain significance | Mutation from literature | ||
| fluoroquinolones | ||||
| moxifloxacin | gyrA | p.Ala90Val | Assoc w R | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) |
| ofloxacin | ||||
| levofloxacin | gyrA | p.Ala90Val | Assoc w R | |
| ciprofloxacin | ||||
| aminoglycosides | ||||
| amikacin | ||||
| capreomycin | tlyA | c.570_571dupTC | Assoc w R | |
| kanamycin | eis | c.-12C>T | Assoc w R | |
| cycloserine | alr | p.Leu113Arg | Mutation from literature | |
| ethionamide | inhA | c.-777C>T | Assoc w R | Alias fabG1_c.-15C>T |
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7570 | p.Ala90Val | missense_variant | 1.0 | levofloxacin | Assoc w R | |
| moxifloxacin | Assoc w R | Low-level resistance (multiple, genetically linked low-level resistance mutations are additive and confer high-level resistance) | |||||
| rpoB | 761139 | p.His445Asp | missense_variant | 1.0 | rifampicin | Assoc w R | |
| rrs | 1472359 | n.514A>C | non_coding_transcript_exon_variant | 0.99 | streptomycin | Assoc w R | |
| rrs | 1472733 | n.888G>A | non_coding_transcript_exon_variant | 0.19 | streptomycin | Uncertain significance | Mutation from literature |
| 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) | |||||
| tlyA | 1918508 | c.570_571dupTC | frameshift_variant | 0.92 | capreomycin | Assoc w R | |
| katG | 2155168 | p.Ser315Thr | missense_variant | 1.0 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2289096 | p.Asp49Gly | missense_variant | 1.0 | pyrazinamide | Assoc w R | |
| eis | 2715344 | c.-12C>T | upstream_gene_variant | 1.0 | kanamycin | Assoc w R | |
| alr | 3841083 | p.Leu113Arg | missense_variant | 1.0 | cycloserine | Mutation from literature | |
| embA | 4243221 | c.-12C>T | upstream_gene_variant | 1.0 | ethambutol | Uncertain significance | Mutation from literature |
| embB | 4248003 | p.Gln497Arg | missense_variant | 1.0 | ethambutol | Assoc w R |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence |
|---|---|---|---|---|---|---|
| dnaA | 698 | p.Arg233Gln | missense_variant | 1.0 | isoniazid | Uncertain significance |
| gyrA | 7362 | p.Glu21Gln | missense_variant | 1.0 | moxifloxacin | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| gyrA | 7585 | p.Ser95Thr | missense_variant | 1.0 | moxifloxacin | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| gyrA | 8040 | p.Gly247Ser | missense_variant | 1.0 | moxifloxacin | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| gyrA | 9304 | p.Gly668Asp | missense_variant | 1.0 | moxifloxacin | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| rpoC | 764995 | c.1626C>G | synonymous_variant | 1.0 | rifampicin | Not assoc w R |
| mmpL5 | 775639 | p.Ile948Val | missense_variant | 1.0 | clofazimine | Not assoc w R |
| bedaquiline | Not assoc w R - Interim | |||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| fbiC | 1303095 | c.165G>A | synonymous_variant | 1.0 | clofazimine | Not assoc w R - Interim |
| pretomanid | ||||||
| delamanid | Not assoc w R - Interim | |||||
| fbiC | 1304962 | p.Trp678Gly | missense_variant | 1.0 | clofazimine | Uncertain significance |
| pretomanid | ||||||
| delamanid | Uncertain significance | |||||
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | kanamycin | |
| amikacin | ||||||
| streptomycin | ||||||
| capreomycin | ||||||
| rrs | 1472571 | n.726G>C | non_coding_transcript_exon_variant | 0.11 | kanamycin | Uncertain significance |
| amikacin | Not assoc w R | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472579 | n.734G>A | non_coding_transcript_exon_variant | 0.13 | kanamycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472581 | n.736A>T | non_coding_transcript_exon_variant | 0.14 | kanamycin | Uncertain significance |
| amikacin | Not assoc w R | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Not assoc w R | |||||
| rrs | 1472592 | n.747C>T | non_coding_transcript_exon_variant | 0.16 | kanamycin | |
| amikacin | ||||||
| streptomycin | ||||||
| capreomycin | ||||||
| rrs | 1472598 | n.753A>C | non_coding_transcript_exon_variant | 0.16 | kanamycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472599 | n.754G>T | non_coding_transcript_exon_variant | 0.16 | kanamycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472606 | n.761C>T | non_coding_transcript_exon_variant | 0.16 | kanamycin | |
| amikacin | ||||||
| streptomycin | ||||||
| capreomycin | ||||||
| rrs | 1472612 | n.767G>T | non_coding_transcript_exon_variant | 0.16 | kanamycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472616 | n.771G>A | non_coding_transcript_exon_variant | 0.15 | kanamycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472645 | n.800G>A | non_coding_transcript_exon_variant | 0.15 | kanamycin | |
| amikacin | ||||||
| streptomycin | ||||||
| capreomycin | ||||||
| rrs | 1472655 | n.810G>A | non_coding_transcript_exon_variant | 0.14 | kanamycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472658 | n.813G>A | non_coding_transcript_exon_variant | 0.12 | kanamycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472661 | n.816A>G | non_coding_transcript_exon_variant | 0.12 | kanamycin | Uncertain significance |
| amikacin | Not assoc w R | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472666 | n.821G>A | non_coding_transcript_exon_variant | 0.12 | kanamycin | |
| amikacin | ||||||
| streptomycin | ||||||
| capreomycin | ||||||
| rrs | 1472669 | n.824_825insTTGA | non_coding_transcript_exon_variant | 0.12 | kanamycin | |
| amikacin | ||||||
| streptomycin | ||||||
| capreomycin | ||||||
| rrs | 1472678 | n.833T>G | non_coding_transcript_exon_variant | 0.12 | kanamycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472679 | n.834T>C | non_coding_transcript_exon_variant | 0.12 | kanamycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472689 | n.844C>A | non_coding_transcript_exon_variant | 0.12 | kanamycin | |
| amikacin | ||||||
| streptomycin | ||||||
| capreomycin | ||||||
| rrs | 1472690 | n.845C>A | non_coding_transcript_exon_variant | 0.12 | kanamycin | |
| amikacin | ||||||
| streptomycin | ||||||
| capreomycin | ||||||
| rrs | 1472694 | n.849C>T | non_coding_transcript_exon_variant | 0.12 | kanamycin | |
| amikacin | ||||||
| streptomycin | ||||||
| capreomycin | ||||||
| rrs | 1472697 | n.852T>C | non_coding_transcript_exon_variant | 0.14 | kanamycin | Uncertain significance |
| amikacin | Not assoc w R | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472713 | n.868T>C | non_coding_transcript_exon_variant | 0.17 | kanamycin | Uncertain significance |
| amikacin | Not assoc w R | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472716 | n.871C>T | non_coding_transcript_exon_variant | 0.17 | kanamycin | Uncertain significance |
| amikacin | Not assoc w R | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472742 | n.897C>T | non_coding_transcript_exon_variant | 0.19 | kanamycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472744 | n.899A>G | non_coding_transcript_exon_variant | 0.19 | kanamycin | Uncertain significance |
| amikacin | Not assoc w R | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472767 | n.922G>A | non_coding_transcript_exon_variant | 0.18 | kanamycin | Uncertain significance |
| amikacin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Uncertain significance | |||||
| rrs | 1472781 | n.936C>T | non_coding_transcript_exon_variant | 0.15 | kanamycin | Uncertain significance |
| amikacin | Not assoc w R | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Not assoc w R | |||||
| rrs | 1472793 | n.948A>T | non_coding_transcript_exon_variant | 0.13 | kanamycin | Uncertain significance |
| amikacin | Not assoc w R | |||||
| streptomycin | Uncertain significance | |||||
| capreomycin | Not assoc w R | |||||
| rrl | 1476353 | n.2696G>T | non_coding_transcript_exon_variant | 0.12 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476358 | n.2701T>C | non_coding_transcript_exon_variant | 0.12 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476372 | n.2715T>C | non_coding_transcript_exon_variant | 0.13 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476382 | n.2725A>G | non_coding_transcript_exon_variant | 0.12 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476383 | n.2726T>A | non_coding_transcript_exon_variant | 0.12 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476408 | n.2751G>A | non_coding_transcript_exon_variant | 0.13 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476425 | n.2768G>T | non_coding_transcript_exon_variant | 0.13 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rrl | 1476428 | n.2771C>T | non_coding_transcript_exon_variant | 0.13 | capreomycin | Not assoc w R |
| linezolid | Uncertain significance | |||||
| rrl | 1476429 | n.2772A>C | non_coding_transcript_exon_variant | 0.13 | capreomycin | Uncertain significance |
| linezolid | Uncertain significance | |||||
| rpsA | 1834836 | p.Met432Thr | missense_variant | 1.0 | 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 | 2156196 | c.-85C>T | upstream_gene_variant | 1.0 | isoniazid | 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 | |||||
| kasA | 2518919 | p.Gly269Ser | missense_variant | 1.0 | isoniazid | |
| folC | 2746340 | p.Ala420Val | missense_variant | 1.0 | para-aminosalicylic_acid | |
| ribD | 2986827 | c.-12G>A | upstream_gene_variant | 1.0 | para-aminosalicylic_acid | |
| thyA | 3073868 | p.Thr202Ala | missense_variant | 1.0 | para-aminosalicylic_acid | |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | |
| mtrB | 3625065 | p.Met517Leu | missense_variant | 1.0 | rifampicin | Not assoc w R |
| bedaquiline | Uncertain significance | |||||
| clpC1 | 4038287 | c.2418C>T | synonymous_variant | 0.99 | pyrazinamide | Not assoc w R |
| clpC1 | 4038968 | c.1737G>A | synonymous_variant | 1.0 | pyrazinamide | Not assoc w R - Interim |
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | 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 | 4408156 | p.Leu16Arg | missense_variant | 1.0 | streptomycin | Not assoc w R |