Run ID: SRR6824364
Sample name:
Date: 2025-05-25T18:19:35.875987
Number of reads: 13009946
Percentage reads mapped: 99.64
Median coverage: 398.0
Strain: lineage2.2.1;lineage4
Spoligotype:
Drug-resistance: Pre-XDR-TB
| Lineage | Family | RDs | Frequency |
|---|---|---|---|
| lineage2 | East-Asian | RD105 | 0.96 |
| lineage2.2.1 | East-Asian (Beijing) | RD105;RD207;RD181 | 0.96 |
| lineage2.2 | East-Asian (Beijing) | RD105;RD207 | 0.95 |
| lineage4 | Euro-American | None | 0.05 |
| Drug | Resistance | Supporting mutations | WHO confidence | Comment |
|---|---|---|---|---|
| rifampicin | rpoB | p.His445Arg | Assoc w R | |
| isoniazid | katG | c.-11434_*169del | Assoc w R | High-level resistance |
| ethambutol | embB | p.Gln497Arg | Assoc w R | |
| pyrazinamide | pncA | c.473delA | Assoc w R | |
| streptomycin | rrs | n.517C>T | Assoc w R | |
| 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 | ||||
| kanamycin | ||||
| cycloserine | ||||
| ethionamide | ||||
| clofazimine | ||||
| para-aminosalicylic_acid | ||||
| delamanid | ||||
| bedaquiline | ||||
| linezolid |
| Gene | Chromosome position | Mutation | Type | Estimated fraction | Drugs | Confidence | Comment |
|---|---|---|---|---|---|---|---|
| gyrA | 7570 | p.Ala90Val | missense_variant | 0.9 | 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 | 761140 | p.His445Arg | missense_variant | 0.95 | rifampicin | Assoc w R | |
| rrs | 1472362 | n.517C>T | non_coding_transcript_exon_variant | 0.95 | streptomycin | Assoc w R | |
| katG | 2153719 | c.-11434_*169del | transcript_ablation | 0.95 | isoniazid | Assoc w R | High-level resistance |
| pncA | 2288768 | c.473delA | frameshift_variant | 0.95 | pyrazinamide | Assoc w R | |
| embB | 4248003 | p.Gln497Arg | missense_variant | 0.96 | ethambutol | 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 | 0.98 | clofazimine | Not assoc w R |
| delamanid | Not assoc w R - Interim | |||||
| pretomanid | Uncertain significance | |||||
| mshA | 575907 | p.Ala187Val | missense_variant | 0.94 | ethionamide | Not assoc w R |
| isoniazid | Not assoc w R | |||||
| ccsA | 620625 | p.Ile245Met | missense_variant | 0.92 | amikacin | Not assoc w R |
| capreomycin | Not assoc w R | |||||
| kanamycin | Uncertain significance | |||||
| Rv0565c | 657081 | c.390G>A | synonymous_variant | 0.96 | ethionamide | Not assoc w R - Interim |
| Rv0565c | 657142 | p.Arg110His | missense_variant | 0.95 | ethionamide | Uncertain significance |
| rpoB | 760295 | p.Asn163Lys | missense_variant | 0.95 | rifampicin | Uncertain significance |
| rpoB | 762909 | p.Ile1035Val | missense_variant | 0.94 | rifampicin | Uncertain significance |
| rpoB | 763031 | c.3225T>C | synonymous_variant | 0.94 | rifampicin | Not assoc w R |
| 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 | 0.93 | bedaquiline | Not assoc w R - Interim |
| clofazimine | Not assoc w R | |||||
| mmpL5 | 776182 | p.Asp767Asn | missense_variant | 0.93 | bedaquiline | Not assoc w R |
| clofazimine | Not assoc w R | |||||
| mmpS5 | 779615 | c.-710C>G | upstream_gene_variant | 0.95 | bedaquiline | Uncertain significance |
| clofazimine | Uncertain significance | |||||
| rpsL | 781395 | c.-165T>C | upstream_gene_variant | 1.0 | streptomycin | Not assoc w R |
| rplC | 800657 | c.-152G>T | upstream_gene_variant | 0.96 | linezolid | Uncertain significance |
| Rv1129c | 1253454 | p.Gly361Cys | missense_variant | 0.94 | isoniazid | Uncertain significance |
| levofloxacin | Uncertain significance | |||||
| moxifloxacin | Uncertain significance | |||||
| rifampicin | Uncertain significance | |||||
| Rv1129c | 1254562 | c.-28T>C | upstream_gene_variant | 0.95 | isoniazid | Not assoc w R |
| levofloxacin | Not assoc w R | |||||
| moxifloxacin | Not assoc w R | |||||
| rifampicin | Not assoc w R | |||||
| Rv1258c | 1406760 | c.580_581insC | frameshift_variant | 0.98 | isoniazid | Uncertain significance |
| pyrazinamide | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rrs | 1471659 | n.-187C>T | upstream_gene_variant | 1.0 | amikacin | Uncertain significance |
| capreomycin | Uncertain significance | |||||
| kanamycin | Uncertain significance | |||||
| streptomycin | Uncertain significance | |||||
| rpsA | 1834177 | c.636A>C | synonymous_variant | 0.95 | 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 |
| PPE35 | 2167926 | p.Leu896Ser | missense_variant | 0.96 | 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 | |||||
| ahpC | 2726142 | c.-51G>A | upstream_gene_variant | 0.93 | isoniazid | Uncertain significance |
| ald | 3086788 | c.-32T>C | upstream_gene_variant | 1.0 | cycloserine | Uncertain significance |
| Rv3236c | 3612601 | non_coding_transcript_variant | 0.92 | pyrazinamide | Uncertain significance | |
| Rv3236c | 3612813 | p.Thr102Ala | missense_variant | 0.95 | 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 | 0.97 | bedaquiline | Uncertain significance |
| rifampicin | Not assoc w R | |||||
| embC | 4242643 | c.2781C>T | synonymous_variant | 1.0 | ethambutol | Not assoc w R |
| embA | 4243460 | c.228C>T | synonymous_variant | 0.96 | ethambutol | Not assoc w R |
| aftB | 4267647 | p.Asp397Gly | missense_variant | 0.93 | ethambutol | Not assoc w R |
| ethA | 4326025 | non_coding_transcript_variant | 0.96 | ethionamide | Uncertain significance | |
| 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 | 0.94 | streptomycin | Not assoc w R |
| gid | 4407927 | p.Glu92Asp | missense_variant | 0.95 | streptomycin | Not assoc w R |