Drug General Information
Drug ID D08QME
Drug Name Ethambutol
Synonyms Aethambutolum; Diambutol; EMB; Etambutol; Etambutolo; Ethambutolum; Etibi; Miambutol; Myambutol; Purderal; Servambutol; Tibutol; Etambutolo [DCIT]; CL 40881 (dihydrochloride); D-Ethambutol; Etambutol [INN-Spanish]; Ethambutol & EEP; Ethambutol & Propolis; Ethambutol (INN); Ethambutol [INN:BAN]; Ethambutol, meso form; Ethambutol, racemic mixture; Ethambutolum [INN-Latin]; Myambutol (TN); Myambutol (dihydrochloride); Servambutol (TN); Ethambutol, (-)-isomer; D,N,N'-Bis(1-hydroxymethylpropyl)ethylenediamine; D-N,N'-Bis(1-hydroxymethylpropyl)ethylenediamine; D-2,2'-(Ethylenediimino)bis(1-butanol); D-2,2'-(Ethylenediimino)di-1-butanol; (+)-(S,S)-2,2'-(1,2-Ethylenediimino)-di-1-butanol; (+)-2,2'-(Ethylenediimino)di-1-butanol; (+)-N,N'-Bis(1-(hydroxymethyl)propyl)ethylenediamine; (+)-S,S-Ethambutol; (+)-ethambutol; (-)-(R,R)-2,2'-(1,2-Ethylenediimino)-di-1-butanol; (2'S)-2,2'-[Ethane-1,2-diyldi(imino)]dibutan-1-ol; (2R)-2-[2-(1-hydroxybutan-2-ylamino)ethylamino]butan-1-ol; (2R)-2-[2-[[(2R)-1-hydroxybutan-2-yl]amino]ethylamino]butan-1-ol; (2S)-2-[2-(1-hydroxybutan-2-ylamino)ethylamino]butan-1-ol; (2S)-2-[2-[[(2R)-1-hydroxybutan-2-yl]amino]ethylamino]butan-1-ol; (2S,2'S)-2,2'-(ethane-1,2-diyldiimino)dibutan-1-ol; (2S,7S)-2,7-diethyl-3,6-diazaoctane-1,8-diol; (R)-2,2'-(1,2-Ethanediyldiimino)bis-1-butanol; (S,R)-2,2'-(1,2-Ethylenediimino)-di-1-butanol; (S,S)-ethambutol; 2,2'-(1,2-Ethylenediimino)-di-1-butanol; 2,2'-(ethane-1,2-diyldiimino)dibutan-1-ol; 2-[2-(1-hydroxybutan-2-ylamino)ethylamino]butan-1-ol
Drug Type Small molecular drug
Therapeutic Class Antitubercular Agents
Company Macleods Pharmaceutical. Ltd
Structure D08QME
Drug Resistance Mutations
Target Name Bacterial Probable arabinosyltransferase C (embB) Target Info
Gene Name embB
Uniprot ID EMBB_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MTQCASRRKSTPNRAILGAFASARGTRWVATIAGLIGFVLSVATPLLPVVQTTAMLDWPQ
RGQLGSVTAPLISLTPVDFTATVPCDVVRAMPPAGGVVLGTAPKQGKDANLQALFVVVSA
QRVDVTDRNVVILSVPREQVTSPQCQRIEVTSTHAGTFANFVGLKDPSGAPLRSGFPDPN
LRPQIVGVFTDLTGPAPPGLAVSATIDTRFSTRPTTLKLLAIIGAIVATVVALIALWRLD
QLDGRGSIAQLLLRPFRPASSPGGMRRLIPASWRTFTLTDAVVIFGFLLWHVIGANSSDD
GYILGMARVADHAGYMSNYFRWFGSPEDPFGWYYNLLALMTHVSDASLWMRLPDLAAGLV
CWLLLSREVLPRLGPAVEASKPAYWAAAMVLLTAWMPFNNGLRPEGIIALGSLVTYVLIE
RSMRYSRLTPAALAVVTAAFTLGVQPTGLIAVAALVAGGRPMLRILVRRHRLVGTLPLVS
PMLAAGTVILTVVFADQTLSTVLEATRVRAKIGPSQAWYTENLRYYYLILPTVDGSLSRR
FGFLITALCLFTAVFIMLRRKRIPSVARGPAWRLMGVIFGTMFFLMFTPTKWVHHFGLFA
AVGAAMAALTTVLVSPSVLRWSRNRMAFLAALFFLLALCWATTNGWWYVSSYGVPFNSAM
PKIDGITVSTIFFALFAIAAGYAAWLHFAPRGAGEGRLIRALTTAPVPIVAGFMAAVFVA
SMVAGIVRQYPTYSNGWSNVRAFVGGCGLADDVLVEPDTNAGFMKPLDGDSGSWGPLGPL
GGVNPVGFTPNGVPEHTVAEAIVMKPNQPGTDYDWDAPTKLTSPGINGSTVPLPYGLDPA
RVPLAGTYTTGAQQQSTLVSAWYLLPKPDDGHPLVVVTAAGKIAGNSVLHGYTPGQTVVL
EYAMPGPGALVPAGRMVPDDLYGEQPKAWRNLRFARAKMPADAVAVRVVAEDLSLTPEDW
IAVTPPRVPDLRSLQEYVGSTQPVLLDWAVGLAFPCQQPMLHANGIAEIPKFRITPDYSA
KKLDTDTWEDGTNGGLLGITDLLLRAHVMATYLSRDWARDWGSLRKFDTLVDAPPAQLEL
GTATRSGLWSPGKIRIGP [Mycobacterium tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: G406A [1], [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: G406D [1], [3], [4]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: M306L [3], [5], [6]
Mutation Frequency 8 out of 19 isolates
Mutation info Missense: D1024N [1], [3]
Mutation info Missense: D328G [1], [3]
Mutation info Missense: D328Y [1], [3]
Mutation info Missense: D959A [1], [3]
Mutation info Missense: G406C [1], [3]
Mutation info Missense: G406S [1], [3]
Mutation info Missense: G745D [1], [3]
Mutation info Missense: M1000R [1], [3]
Mutation info Missense: Q497K [1], [3]
Mutation info Missense: Q497R [1], [3]
Mutation info Missense: S297A [1], [3]
Mutation info Missense: Y334H [1], [3]
Mutation info Missense: M306T [5], [3]
Mutation info Missense: Y319C [9], [3]
Mutation info Missense: Y319N [10], [3]
Mutation info Missense: F330V [6], [3]
Mutation info Missense: A356V [4], [3]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: A357S [4], [3]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: D240H [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: D299E [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: D311H [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: E368A [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: E378A [2], [3]
Mutation Frequency 2 out of 16 isolates
Mutation info Missense: I465D [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: L239P [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: M306I [6], [3]
Mutation Frequency 8 out of 19 isolates
Mutation info Missense: M306V [6], [3]
Mutation Frequency 8 out of 19 isolates
Mutation info Missense: N399H [4], [3]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: P375A [4], [3]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: P397Q [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: P446H [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: R460C [4], [3]
Mutation Frequency 4 out of 44 isolates
Mutation info Missense: R469P [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: R471P [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: S380R [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Frameshift: Plus 328 [11]
Mutation info Missense: S347T [11]
Mutation info Missense: D331Y [5]
Mutation info Missense: G314A [5]
Mutation info Missense: Y322C [5]
Mutation info Missense: R274P [12]
Mutation info Missense: A659T [13]
Mutation Frequency 4 out of 20 isolates
Mutation info Missense: M423I [13]
Mutation Frequency 4 out of 20 isolates
Mutation info Missense: G314E [14]
Mutation info Missense: Y333H [9]
Mutation info Missense: D328V [15]
Mutation info Missense: S297L [15]
Mutation info Missense: W332L [15]
Mutation info Missense: Y319S [15]
Mutation info Missense: A221G [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: A225S [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: A271V [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: A281P [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: F281L [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: F287C [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: F287V [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: G294S [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: I293N [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: S272C [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: S272I [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: V128G [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: V227G [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: V282L [2]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: A310R [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: A356F [4]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: A356S [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: A357V [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: A379D [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: A379T [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: A388G [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: A431T [4]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: D311R [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: E368D [4]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: E368Q [4]
Mutation Frequency 3 out of 44 isolates
Mutation info Missense: E378K [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: E405P [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: F398H [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: F398Y [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: G331R [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: G358V [4]
Mutation Frequency 3 out of 44 isolates
Mutation info Missense: G374V [4]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: G401S [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: G406P [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: G448V [4]
Mutation Frequency 3 out of 44 isolates
Mutation info Missense: G459A [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: H312R [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: L359I [4]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: L370R [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: N296K [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: N318H [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: N318K [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: N318S [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: N399D [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: N400K [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: N400P [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: P371R [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: P397T [4]
Mutation Frequency 3 out of 44 isolates
Mutation info Missense: P430L [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: P461S [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: R257W [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: R367P [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: R434G [4]
Mutation info Missense: R460L [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: S317T [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: S347I [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: S366P [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: S380D [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: T437A [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: V282G [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: V309G [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: V360M [4]
Mutation Frequency 3 out of 44 isolates
Mutation info Missense: V369A [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: V369L [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: V377G [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: V377M [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: V435G [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: V436G [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: V452L [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: W395C [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: W395R [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: Y315L [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: Y384N [4]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: F285L [6]
Mutation info Missense: T630I [6]
Mutation info Missense: E504Q [3]
Mutation info Missense: L413P [3]
Mutation info Missense: R507G [3]
Mutation info Missense: Y333C [3]
Mutation info Missense: F1012S [7]
Mutation info Missense: Q998R [7]
Mutation info Missense: T610K [7]
Target Name Bacterial Probable arabinosyltransferase C (embC) Target Info
Gene Name embC
Uniprot ID EMBC_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MATEAAPPRIAVRLPSTSVRDAGANYRIARYVAVVAGLLGAVLAIATPLLPVNQTTAQLN
WPQNGTFASVEAPLIGYVATDLNITVPCQAAAGLAGSQNTGKTVLLSTVPKQAPKAVDRG
LLLQRANDDLVLVVRNVPLVTAPLSQVLGPTCQRLTFTAHADRVAAEFVGLVQGPNAEHP
GAPLRGERSGYDFRPQIVGVFTDLAGPAPPGLSFSASVDTRYSSSPTPLKMAAMILGVAL
TGAALVALHILDTADGMRHRRFLPARWWSTGGLDTLVIAVLVWWHFVGANTSDDGYILTM
ARVSEHAGYMANYYRWFGTPEAPFGWYYDLLALWAHVSTASIWMRLPTLAMALTCWWVIS
REVIPRLGHAVKTSRAAAWTAAGMFLAVWLPLDNGLRPEPIIALGILLTWCSVERAVATS
RLLPVAIACIIGALTLFSGPTGIASIGALLVAIGPLRTILHRRSRRFGVLPLVAPILAAA
TVTAIPIFRDQTFAGEIQANLLKRAVGPSLKWFDEHIRYERLFMASPDGSIARRFAVLAL
VLALAVSVAMSLRKGRIPGTAAGPSRRIIGITIISFLAMMFTPTKWTHHFGVFAGLAGSL
GALAAVAVTGAAMRSRRNRTVFAAVVVFVLALSFASVNGWWYVSNFGVPWSNSFPKWRWS
LTTALLELTVLVLLLAAWFHFVANGDGRRTARPTRFRARLAGIVQSPLAIATWLLVLFEV
VSLTQAMISQYPAWSVGRSNLQALAGKTCGLAEDVLVELDPNAGMLAPVTAPLADALGAG
LSEAFTPNGIPADVTADPVMERPGDRSFLNDDGLITGSEPGTEGGTTAAPGINGSRARLP
YNLDPARTPVLGSWRAGVQVPAMLRSGWYRLPTNEQRDRAPLLVVTAAGRFDSREVRLQW
ATDEQAAAGHHGGSMEFADVGAAPAWRNLRAPLSAIPSTATQVRLVADDQDLAPQHWIAL
TPPRIPRVRTLQNVVGAADPVFLDWLVGLAFPCQRPFGHQYGVDETPKWRILPDRFGAEA
NSPVMDHNGGGPLGITELLMRATTVASYLKDDWFRDWGALQRLTPYYPDAQPADLNLGTV
TRSGLWSPAPLRRG [Mycobacterium tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: T270I [3], [4], [6]
Mutation Frequency 14 out of 44 isolates
Mutation info Missense: N394D [1], [3]
Mutation info Missense: R738Q [1], [3]
Mutation info Missense: V981L [6], [3]
Mutation info Missense: A247P [4], [3]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: A254G [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: A307T [4], [3]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: G288V [4], [3]
Mutation Frequency 4 out of 44 isolates
Mutation info Missense: G288W [4], [3]
Mutation Frequency 6 out of 44 isolates
Mutation info Missense: G308D [4], [3]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: G325S [4], [3]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: H285Y [4], [3]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: I297L [4], [3]
Mutation Frequency 3 out of 44 isolates
Mutation info Missense: I297T [4], [3]
Mutation Frequency 8 out of 44 isolates
Mutation info Missense: L251R [2], [3]
Mutation Frequency 16 out of 23 isolates in all embB mutations
Mutation info Missense: M300R [4], [3]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: M310K [4], [3]
Mutation Frequency 4 out of 44 isolates
Mutation info Missense: R302G [4], [3]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: V287F [4], [3]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: V303G [4], [3]
Mutation Frequency 6 out of 44 isolates
Mutation info Missense: W326R [4], [3]
Mutation Frequency 3 out of 44 isolates
Mutation info Missense: Y296H [4], [3]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: Y296S [4], [3]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: Y309N [4], [3]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: Y327N [4], [3]
Mutation Frequency 4 out of 44 isolates
Mutation info Missense: A244T [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: G272S [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: G5S [6]
Mutation info Missense: L502P [3]
Mutation info Missense: P398S [3]
Mutation info Missense: Q491R [3]
Target Name Bacterial Isoniazid-induced protein (IniA) Target Info
Gene Name inia
Uniprot ID INIA_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MVPAGLCAYRDLRRKRARKWGDTVTQPDDPRRVGVIVELIDHTIAIAKLNERGDLVQRLT
RARQRITDPQVRVVIAGLLKQGKSQLLNSLLNLPAARVGDDEATVVITVVSYSAQPSARL
VLAAGPDGTTAAVDIPVDDISTDVRRAPHAGGREVLRVEVGAPSPLLRGGLAFIDTPGVG
GLGQPHLSATLGLLPEADAVLVVSDTSQEFTEPEMWFVRQAHQICPVGAVVATKTDLYPR
WREIVNANAAHLQRARVPMPIIAVSSLLRSHAVTLNDKELNEESNFPAIVKFLSEQVLSR
ATERVRAGVLGEIRSATEQLAVSLGSELSVVNDPNLRDRLASDLERRKREAQQAVQQTAL
WQQVLGDGFNDLTADVDHDLRTRFRTVTEDAERQIDSCDPTAHWAEIGNDVENAIATAVG
DNFVWAYQRSEALADDVARSFADAGLDSVLSAELSPHVMGTDFGRLKALGRMESKPLRRG
HKMIIGMRGSYGGVVMIGMLSSVVGLGLFNPLSVGAGLILGRMAYKEDKQNRLLRVRSEA
KANVRRFVDDISFVVSKQSRDRLKMIQRLLRDHYREIAEEITRSLTESLQATIAAAQVAE
TERDNRIRELQRQLGILSQVNDNLAGLEPTLTPRASLGRA [Mycobacterium tube
rculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: G308R [1], [7]
Mutation info Missense: S501W [1], [7]
Mutation info Missense: P3A [7]
Mutation info Missense: R537H [7]
Target Name Bacterial Isoniazid-induced protein (IniC) Target Info
Gene Name iniC
Uniprot ID INIC_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MSTSDRVRAILHATIQAYRGAPAYRQRGDVFCQLDRIGARLAEPLRIALAGTLKAGKSTL
VNALVGDDIAPTDATEATRIVTWFRHGPTPRVTANHRGGRRANVPITRRGGLSFDLRRIN
PAELIDLEVEWPAEELIDATIVDTPGTSSLACDASERTLRLLVPADGVPRVDAVVFLLRT
LNAADVALLKQIGGLVGGSVGALGIIGVASRADEIGAGRIDAMLSANDVAKRFTRELNQM
GICQAVVPVSGLLALTARTLRQTEFIALRKLAGAERTELNRALLSVDRFVRRDSPLPVDA
GIRAQLLERFGMFGIRMSIAVLAAGVTDSTGLAAELLERSGLVALRNVIDQQFAQRSDML
KAHTALVSLRRFVQTHPVPATPYVIADIDPLLADTHAFEELRMLSLLPSRATTLNDDEIA
SLRRIIGGSGTSAAARLGLDPANSREAPRAALAAAQHWRRRAAHPLNDPFTTRACRAAVR
SAEAMVAEFSARR [Mycobacterium tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: P248A [1], [7]
Mutation info Nonsense: Q351 STOP [1]
Target Name Bacterial Transcriptional regulatory protein (EmbR) Target Info
Gene Name embR
Uniprot ID EMBR_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MAGSATVEKRLDFGLLGPLQMTIDGTPVPSGTPKQRAVLAMLVINRNRPVGVDALITALW
EEWPPSGARASIHSYVSNLRKLLGGAGIDPRVVLAAAPPGYRLSIPDNTCDLGRFVAEKT
AGVHAAAAGRFEQASRHLSAALREWRGPVLDDLRDFQFVEPFATALVEDKVLAHTAKAEA
EIACGRASAVIAELEALTFEHPYREPLWTQLITAYYLSDRQSDALGAYRRVKTTLADDLG
IDPGPTLRALNERILRQQPLDAKKSAKTTAAGTVTVLDQRTMASGQQAVAYLHDIASGRG
YPLQAAATRIGRLHDNDIVLDSANVSRHHAVIVDTGTNYVINDLRSSNGVHVQHERIRSA
VTLNDGDHIRICDHEFTFQISAGTHGGT [Mycobacterium tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: Q379R [1], [8]
Mutation info Missense: C110Y [4], [8]
Mutation Frequency 1 out of 44 isolates
Mutation info Intergenic: Minus 273 [1]
Mutation info Missense: A176V [4]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: A187V [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: D223E [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: D53H [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: E200A [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: G240R [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: H351E [4]
Mutation info Missense: I369T [4]
Mutation Frequency 5 out of 44 isolates
Mutation info Missense: I396T [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: L172R [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: L211M [4]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: L292M [4]
Mutation info Missense: L303E [4]
Mutation info Missense: L320V [4]
Mutation Frequency 2 out of 44 isolates
Mutation info Missense: R186G [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: R230W [4]
Mutation Frequency 5 out of 44 isolates
Mutation info Missense: R356G [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: S188R [4]
Mutation Frequency 3 out of 44 isolates
Mutation info Missense: S326N [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: T32P [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: V350G [4]
Mutation Frequency 1 out of 44 isolates
Mutation info Missense: V7G [4]
Mutation Frequency 1 out of 44 isolates
Target Name Bacterial Probable arabinosyltransferase C (embA) Target Info
Gene Name embA
Uniprot ID EMBA_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MPHDGNERSHRIARLAAVVSGIAGLLLCGIVPLLPVNQTTATIFWPQGSTADGNITQITA
PLVSGAPRALDISIPCSAIATLPANGGLVLSTLPAGGVDTGKAGLFVRANQDTVVVAFRD
SVAAVAARSTIAAGGCSALHIWADTGGAGADFMGIPGGAGTLPPEKKPQVGGIFTDLKVG
AQPGLSARVDIDTRFITTPGALKKAVMLLGVLAVLVAMVGLAALDRLSRGRTLRDWLTRY
RPRVRVGFASRLADAAVIATLLLWHVIGATSSDDGYLLTVARVAPKAGYVANYYRYFGTT
EAPFDWYTSVLAQLAAVSTAGVWMRLPATLAGIACWLIVSRFVLRRLGPGPGGLASNRVA
VFTAGAVFLSAWLPFNNGLRPEPLIALGVLVTWVLVERSIALGRLAPAAVAIIVATLTAT
LAPQGLIALAPLLTGARAIAQRIRRRRATDGLLAPLAVLAAALSLITVVVFRDQTLATVA
ESARIKYKVGPTIAWYQDFLRYYFLTVESNVEGSMSRRFAVLVLLFCLFGVLFVLLRRGR
VAGLASGPAWRLIGTTAVGLLLLTFTPTKWAVQFGAFAGLAGVLGAVTAFTFARIGLHSR
RNLTLYVTALLFVLAWATSGINGWFYVGNYGVPWYDIQPVIASHPVTSMFLTLSILTGLL
AAWYHFRMDYAGHTEVKDNRRNRILASTPLLVVAVIMVAGEVGSMAKAAVFRYPLYTTAK
ANLTALSTGLSSCAMADDVLAEPDPNAGMLQPVPGQAFGPDGPLGGISPVGFKPEGVGED
LKSDPVVSKPGLVNSDASPNKPNAAITDSAGTAGGKGPVGINGSHAALPFGLDPARTPVM
GSYGENNLAATATSAWYQLPPRSPDRPLVVVSAAGAIWSYKEDGDFIYGQSLKLQWGVTG
PDGRIQPLGQVFPIDIGPQPAWRNLRFPLAWAPPEADVARIVAYDPNLSPEQWFAFTPPR
VPVLESLQRLIGSATPVLMDIATAANFPCQRPFSEHLGIAELPQYRILPDHKQTAASSNL
WQSSSTGGPFLFTQALLRTSTIATYLRGDWYRDWGSVEQYHRLVPADQAPDAVVEEGVIT
VPGWGRPGPIRALP [Mycobacterium tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: A201T [1], [3]
Mutation info Missense: A462V [1], [3]
Mutation info Missense: D4N [1], [3]
Mutation info Missense: D833A [1], [3]
Mutation info Missense: G321S [1], [3]
Mutation info Missense: G350D [1], [3]
Mutation info Missense: P913S [1], [3]
Mutation info Frameshift: Minus 43 [1]
Mutation info Missense: G5S [3]
Target Name Bacterial dTDP-L-rhamnose synthase (rmlD) Target Info
Gene Name rmlD
Uniprot ID RMLD_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MAGRSERLVITGAGGQLGSHLTAQAAREGRDMLALTSSQWDITDPAAAERIIRHGDVVIN
CAAYTDVDGAESNEAVAYAVNATGPQHLARACARVGARLIHVSTDYVFDGDFGGAEPRPY
EPTDETAPQGVYARSKLAGEQAVLAAFPEAAVVRTAWVYTGGTGKDFVAVMRRLAAGHGR
VDVVDDQTGSPTYVADLAEALLALADAGVRGRVLHAANEGVVSRFGQARAVFEECGADPQ
RVRPVSSAQFPRPAPRSSYSALSSRQWALAGLTPLRHWRSALATALAAPANSTSIDRRLP
STRD [Mycobacterium tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: S257P [1]
Target Name Bacterial Isoniazid-induced protein (IniB) Target Info
Gene Name iniB
Uniprot ID INIB_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MTSLIDYILSLFRSEDAARSFVAAPGRAMTSAGLIDIAPHQISSVAANVVPGLNLGAGDP
MSGLRQAVAARHGFAQDVANVGFAGDAGAGVASVITTDVGAGLASGLGAGFLGQGGLALA
ASSGGFGGQVGLAAQVGLGFTAVIEAEVGAQVGAGLGIGTGLGAQAGMGFGGGVGLGLGG
QAGGVIGGSAAGAIGAGVGGRLGGNGQIGVAGQGAVGAGVGAGVGGQAGIASQIGVSAGG
GLGGVGNVSGLTGVSSNAVLASNASGQAGLIASEGAALNGAAMPHLSGPLAGVGVGGQAG
AAGGAGLGFGAVGHPTPQPAALGAAGVVAKTEAAAGVVGGVGGATAAGVGGAHGDILGHE
GAALGSVDTVNAGVTPVEHGLVLPSGPLIHGGTGGYGGMNPPVTDAPAPQVPARAQPMTT
AAEHTPAVTQPQHTPVEPPVHDKPPSHSVFDVGHEPPVTHTPPAPIELPSYGLFGLPGF
[Mycobacterium tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: A47T [1]
Target Name Bacterial D-alpha-D-mannose-1-phosphate guanylyltransferase ManB (rmlA2) Target Info
Gene Name rmlA2
Uniprot ID L7N6A5_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MATHQVDAVVLVGGKGTRLRPLTLSAPKPMLPTAGLPFLTHLLSRIAAAGIEHVILGTSY
KPAVFEAEFGDGSALGLQIEYVTEEHPLGTGGGIANVAGKLRNDTAMVFNGDVLSGADLA
QLLDFHRSNRADVTLQLVRVGDPRAFGCVPTDEEDRVVAFLEKTEDPPTDQINAGCYVFE
RNVIDRIPQGREVSVEREVFPALLADGDCKIYGYVDASYWRDMGTPEDFVRGSADLVRGI
APSPALRGHRGEQLVHDGAAVSPGALLIGGTVVGRGAEIGPGTRLDGAVIFDGVRVEAGC
VIERSIIGFGARIGPRALIRDGVIGDGADIGARCELLSGARVWPGVFLPDGGIRYSSDV
[Mycobacterium tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: D152N [1]
Target Name Bacterial Uncharacterized protein (Rv3126c) Target Info
Gene Name Rv3126c
Species Mycobacterium tuberculosis
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: L276R [1]
Target Name Bacterial Molybdopterin biosynthesis positive regulator (Rv3124) Target Info
Gene Name Rv3124
Uniprot ID MOAR1_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MGQRPFSPNHRSGVLNATTAGAVQFNVLGPLELNLRGTKLPLGTPKQRAVLAMLLLSRNQ
VVAADALVQAIWEKSPPARARRTVHTYICNLRRTLSDAGVDSRNILVSEPPGYRLLIGDR
QQCDLDRFVAAKESGLRASAKGYFSEAIRYLDSALQNWRGPVLGDLRSFMFVQMFSRALT
EDELLVHTKLAEAAIACGRADVVIPKLERLVAMHPYRESLWKQLMLGYYVNEYQSAAIDA
YHRLKSTLAEELGVEPAPTIRALYHKILRQLPMDDLVGRVTRGRVDLRGGNGAKVEELTE
SDKDLLPIGLA [Mycobacterium tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Intergenic: Minus 16 [1]
Target Name Bacterial Conserved protein (Rv0340) Target Info
Gene Name Rv0340
Uniprot ID O33270_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MANSLLDFVISLVRDPEAAARYAANPERSIAEAHLTDVTRADVNSLIPVVSDSLSMSEPI
GAAGGAHAGDRGNVWASGAATAALDAFAPHADAGVVQQHGAVGSVLNQPTPPGPGVTPTD
PRPFRAGPHETSALLTSAEIPDTTSEDGGLPTDHPAVWNHPVVDPHTVEPDHHGYDIHG
[Mycobacterium tuberculosis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Frameshift: Minus 24 [1]
Mutation info Missense: T173M [1]
Target Name Bacterial Uncharacterized PPE family protein (PPE49) Target Info
Gene Name Rv3125c
Uniprot ID PPE49_MYCTU
Species Mycobacterium tuberculosis
Reference Sequence MMMMMVLGFSWLPPEINSARMFAGAGSGPLFAAASAWEGLAADLWASASSFESVLAALTT
GPWTGPASMSMAAAASPYVGWLSTVASQAQLAAIQARAAATAFEAALAATVHPTAVTANR
VSLASLIAANVLGQNTPAIAATEFDYLEMWAQDVAAMVGYHAGAKSVAATLAPFSLPPVS
LAGLAAQVGTQVAGMATTASAAVTPVVEGAMASVPTVMSGMQSLVSQLPLQHASMLFLPV
RILTSPITTLASMARESATRLGPPAGGLAAANTPNPSGAAIPAFKPLGGRELGAGMSAGL
GQAQLVGSMSVPPTWQGSIPISMASSAMSGLGVPPNPVALTQAAGAAGGGMPMMLMPMSI
SGAGAGMPGGLMDRDGAGWHVTQARLTVIPRTGVG [Mycobacterium tuberculo
sis]
Targeted Disease Tuberculosis
Drug Resistance Mutations
Mutation info Missense: P54S [1]
References
REF 1 Molecular genetic analysis of nucleotide polymorphisms associated with ethambutol resistance in human isolates of Mycobacterium tuberculosis. Antimicrob Agents Chemother. 2000 Feb;44(2):326-36.
REF 2 Nucleotide polymorphism associated with ethambutol resistance in clinical isolates of Mycobacterium tuberculosis. Curr Microbiol. 2006 Nov;53(5):401-5.
REF 3 Bioinformatics of antimicrobial resistance in the age of molecular epidemiology. Curr Opin Microbiol. 2015 Oct;27:45-50.
REF 4 emb nucleotide polymorphisms and the role of embB306 mutations in Mycobacterium tuberculosis resistance to ethambutol. Int J Med Microbiol. 2009 Apr;299(4):269-80.
REF 5 Mutations in the embB locus among Korean clinical isolates of Mycobacterium tuberculosis resistant to ethambutol. Yonsei Med J. 2002 Feb;43(1):59-64.
REF 6 Ethambutol resistance in Mycobacterium tuberculosis: critical role of embB mutations. Antimicrob Agents Chemother. 1997 Aug;41(8):1677-81.
REF 7 CARD 2017: expansion and model-centric curation of the comprehensive antibiotic resistance database. Nucleic Acids Res. 2017 Jan 4;45(D1):D566-D573.
REF 8 The comprehensive antibiotic resistance database. Antimicrob Agents Chemother. 2013 Jul;57(7):3348-57.
REF 9 The molecular epidemiology of ethambutol-resistant Mycobacterium tuberculosis in Henan Province, China. Jpn J Infect Dis. 2005 Dec;58(6):393-5.
REF 10 Genetic and phenotypic characterization of drug-resistant Mycobacterium tuberculosis isolates in Hong Kong. J Antimicrob Chemother. 2007 May;59(5):866-73.
REF 11 Genotypic characterization of drug-resistant Mycobacterium tuberculosis isolates from Peru. Tuber Lung Dis. 1998;79(2):111-8.
REF 12 [Surveillance of drug resistant tuberculosis in Hubei, China]. Zhonghua Jie He He Hu Xi Za Zhi. 2002 Dec;25(12):723-6.
REF 13 Novel mutations within the embB gene in ethambutol-susceptible clinical isolates of Mycobacterium tuberculosis. Antimicrob Agents Chemother. 2004 Nov;48(11):4447-9.
REF 14 Characterisation of rpsL, rrs and embB mutations associated with streptomycin and ethambutol resistance in Mycobacterium tuberculosis. Res Microbiol. 2004 Dec;155(10):830-4.
REF 15 Significance of mutations in embB codon 306 for prediction of ethambutol resistance in clinical Mycobacterium tuberculosis isolates. Antimicrob Agents Chemother. 2006 May;50(5):1900-2.

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