Table 4

Web servers for predicting DRMs from sequence data

Server/URLFunctionalityaOperating principlesbPerformancecInputsdOutputsAdvantagesLimitationsYear
Predict DRMs from insect sequence
ACE
http://genome.zju.edu.cn/software/ace/
Detect insecticide resistance mutations in AchE by RNA-Seq dataBWT-based sequence mappingFASTA or FASTQMutation frequency, Resistance frequencyThe first tool to detect DRMs from RNA-Seq data, can detect resistant reads at low frequencyOnly one target resistance mutation can be detected currently2017
FastD
http://www.insect-genome.com/fastd
Detect insecticide resistance target-site mutations by RNA-Seq dataBWT–based sequence mappingAUC: 0.87,
R2 = 0.834,
AC: 89.7%
cDNA sequences, SAM fileMutation frequency, Resistance frequencyCan identify the new target-site mutations, using SAM files as input which can analyze the samples more quicklyThe accuracy of mutation frequency is limited by the fact that RNA-Seq reads from pooled sample have potentially different levels of contribution from each insect sample and allele2019
Predict DRMs from microorganism sequence
LRE-Finder
https://cge.food.dtu.dk/services/LRE-Finder-1.0/
Detects the 23S rRNA mutations and linezolid resistance in enterococci
by WGS data
KMA–based sequence mappingAC: 100%Elm database, threshholds, FASTA or FASTQMutations, wild-type ratio, MT type ratio and predicted phenotypeThe first report of a G2505A mutation detected in vivo in an E. faecium isolate from a patientUsing draft as sembly sequences will fail to detect mutations in 23S, when these mutations are constituting
only a minority of the bases in the given position
2019
PointFinder
https://cge.cbs.dtu.dk/services/
Detects AMR chromosomal point mutations in bacteriaBLAST-based sequence alignmentAC: 98.4%FASTQThe output from the web tool is easily understandableLow accessibility2018
MinVar
http://git.io/minvar
Detects minority variants in HIV-1 and HCV populationsBWA (BWT-based) sequence mappingFASTQA table with amino acid mutations with
respect to HIV-1 consensus B, annotated according to the class
of resistance defined in the Stanford HIVdb
Detect DRMs without the need to perform additional bioinformatics analysis; Be compatible with a diverse range of sequencing platformsThere is no check for minimum acceptable and uniform coverage. For anomalous samples, a strategy to correct this skew is not chosen2017
GWAMAR
http://bioputer.mimuw.edu.pl/gwamar/
Detects DRMs in bacteria from WGS dataMSA, TGHAUC: 0.28, 0.43Mutations, drug resistance profiles, phylogenetic treeScored list of putative associations of drug resistance with mutationsDesigned a new statistical score TGH(i) it doesn’t consider or predict epistatic interactions between mutations. (ii) it considers only genomic changes ignoring levels of gene expression. (iii) it provides putative in silico associations which should be subjected to further investigation in wet lab experiments.2014
HIVfird
www.hivfird.ics.ufba.br
Detects mutatons in HIV-1 sequences that confer resistance to EnfuvirtideKalign-based sequence alignmentDNA FASTAHTML file return from server with detection reportThe first software to predict the resistance of HIV-1 strains to the fusion inhibitors based on the virus DNA sequenceOnly nucleotide sequences can be used as input, protein sequences cannot be used as input2019
Resistance Sniffer
http://resistance-sniffer.bi.up.ac.za/
Predicts drug resistance patterns of MTB isolatesBWT-based sequence mappingFASTA/FASTQA bar plot of
the probability that the strain is drug sensitive or drug resistant to the 13 antibiotics
Can be used at different stages of whole genome completionPredictable anti-TB drugs are limited2019
Mykrobe predictor
https://www.mykrobe.com/
Predicts drug resistance for MTB and SA from WGS dataBWT-based sequence mappingSE/SP: 99.1%/99.6%; 82.6%/98.5%FASTQClinician-friendly reportA system robust to mixtureBatch uploads are not allowed, can’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015
TB-Profiler
https://tbdr.lshtm.ac.uk/
Detects anti-TB drug resistance from WGS dataBWA (BWT-based) sequence alignmentFASTQHTML with drug resistance profile/lineagesThe mutation library is more accurate than current commercial molecular tests and alternative mutation databasesBatch uploads are not allowed, can’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015, 2019
PhyResSE
http://phyresse.org
Delineates drug resistance of MTB from WGS dataBLAST-based sequence mappingAC: 97.83%–100%FASTQHTML with drug resistance profile and lineagesSimple to use, befits human diagnosticsCan’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015
KvarQ
http://www.swisstph.ch/kvarq.
Detects DRMs in bacterial from WGS dataBWA (BWT-based) sequence alignmentAC:
>99%
FASTQA text file in JavaScript Object Notation formatDirectly extracts relevant information from fastq files, easy to useCan’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2014
CASTB
http://castb.ri.ncgm.go.jp/CASTB
Predicts drug resistance for MTB from WGS dataFASTA/ FASTQSpoligotypes, VNTR, LSP lineages and SNP based tree with e-mail notificationCASTB is a useful tool for identifying strains from WGS data, even when bioinformatics knowledge is limited.Batch uploads are not allowed,can’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015
GenTB
https://gentb.hms.harvard.edu
For analyzing and predicting drug resistances to MTBMEM–Align–based sequence alignmentSE/SP: GenTB-RF: 77.6%, 96.2%
GenTB-WDNN: 75.4%, 96.1%
FASTQ files and varient call fileMutation frequencyUsers can choose between two potential predictors, a RF classifier and a Wide and Deep Neural NetworkNeed to quality control input sequence data before prediction; multipoint mutations cannot be predicted2021
AMRFinderPlus
https://www.ncbi.nlm.nih.gov/pathogens/antimicrobial resistance/AMRFinder/
Predicts drug resistance-associated point mutationsBLAST-based sequence alignmentFASTAReportCan detect acquired genes and point mutations in both protein and nucleotide sequenceNot easy to use2021
SAM-TB
https://samtb.uni-medica.com/
Detects MTB drug resistance and transmissionBWA (BWT-based) sequence mappingSE: 93.9%,
SP: 96.2%
FASTQMutation frequency, mutation detailsIntegrates drug-resistance prediction with strain genetic relationships and species identification of nontuberculous mycobacteriaPredictable anti-TB drugs are limited2022
Server/URLFunctionalityaOperating principlesbPerformancecInputsdOutputsAdvantagesLimitationsYear
Predict DRMs from insect sequence
ACE
http://genome.zju.edu.cn/software/ace/
Detect insecticide resistance mutations in AchE by RNA-Seq dataBWT-based sequence mappingFASTA or FASTQMutation frequency, Resistance frequencyThe first tool to detect DRMs from RNA-Seq data, can detect resistant reads at low frequencyOnly one target resistance mutation can be detected currently2017
FastD
http://www.insect-genome.com/fastd
Detect insecticide resistance target-site mutations by RNA-Seq dataBWT–based sequence mappingAUC: 0.87,
R2 = 0.834,
AC: 89.7%
cDNA sequences, SAM fileMutation frequency, Resistance frequencyCan identify the new target-site mutations, using SAM files as input which can analyze the samples more quicklyThe accuracy of mutation frequency is limited by the fact that RNA-Seq reads from pooled sample have potentially different levels of contribution from each insect sample and allele2019
Predict DRMs from microorganism sequence
LRE-Finder
https://cge.food.dtu.dk/services/LRE-Finder-1.0/
Detects the 23S rRNA mutations and linezolid resistance in enterococci
by WGS data
KMA–based sequence mappingAC: 100%Elm database, threshholds, FASTA or FASTQMutations, wild-type ratio, MT type ratio and predicted phenotypeThe first report of a G2505A mutation detected in vivo in an E. faecium isolate from a patientUsing draft as sembly sequences will fail to detect mutations in 23S, when these mutations are constituting
only a minority of the bases in the given position
2019
PointFinder
https://cge.cbs.dtu.dk/services/
Detects AMR chromosomal point mutations in bacteriaBLAST-based sequence alignmentAC: 98.4%FASTQThe output from the web tool is easily understandableLow accessibility2018
MinVar
http://git.io/minvar
Detects minority variants in HIV-1 and HCV populationsBWA (BWT-based) sequence mappingFASTQA table with amino acid mutations with
respect to HIV-1 consensus B, annotated according to the class
of resistance defined in the Stanford HIVdb
Detect DRMs without the need to perform additional bioinformatics analysis; Be compatible with a diverse range of sequencing platformsThere is no check for minimum acceptable and uniform coverage. For anomalous samples, a strategy to correct this skew is not chosen2017
GWAMAR
http://bioputer.mimuw.edu.pl/gwamar/
Detects DRMs in bacteria from WGS dataMSA, TGHAUC: 0.28, 0.43Mutations, drug resistance profiles, phylogenetic treeScored list of putative associations of drug resistance with mutationsDesigned a new statistical score TGH(i) it doesn’t consider or predict epistatic interactions between mutations. (ii) it considers only genomic changes ignoring levels of gene expression. (iii) it provides putative in silico associations which should be subjected to further investigation in wet lab experiments.2014
HIVfird
www.hivfird.ics.ufba.br
Detects mutatons in HIV-1 sequences that confer resistance to EnfuvirtideKalign-based sequence alignmentDNA FASTAHTML file return from server with detection reportThe first software to predict the resistance of HIV-1 strains to the fusion inhibitors based on the virus DNA sequenceOnly nucleotide sequences can be used as input, protein sequences cannot be used as input2019
Resistance Sniffer
http://resistance-sniffer.bi.up.ac.za/
Predicts drug resistance patterns of MTB isolatesBWT-based sequence mappingFASTA/FASTQA bar plot of
the probability that the strain is drug sensitive or drug resistant to the 13 antibiotics
Can be used at different stages of whole genome completionPredictable anti-TB drugs are limited2019
Mykrobe predictor
https://www.mykrobe.com/
Predicts drug resistance for MTB and SA from WGS dataBWT-based sequence mappingSE/SP: 99.1%/99.6%; 82.6%/98.5%FASTQClinician-friendly reportA system robust to mixtureBatch uploads are not allowed, can’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015
TB-Profiler
https://tbdr.lshtm.ac.uk/
Detects anti-TB drug resistance from WGS dataBWA (BWT-based) sequence alignmentFASTQHTML with drug resistance profile/lineagesThe mutation library is more accurate than current commercial molecular tests and alternative mutation databasesBatch uploads are not allowed, can’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015, 2019
PhyResSE
http://phyresse.org
Delineates drug resistance of MTB from WGS dataBLAST-based sequence mappingAC: 97.83%–100%FASTQHTML with drug resistance profile and lineagesSimple to use, befits human diagnosticsCan’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015
KvarQ
http://www.swisstph.ch/kvarq.
Detects DRMs in bacterial from WGS dataBWA (BWT-based) sequence alignmentAC:
>99%
FASTQA text file in JavaScript Object Notation formatDirectly extracts relevant information from fastq files, easy to useCan’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2014
CASTB
http://castb.ri.ncgm.go.jp/CASTB
Predicts drug resistance for MTB from WGS dataFASTA/ FASTQSpoligotypes, VNTR, LSP lineages and SNP based tree with e-mail notificationCASTB is a useful tool for identifying strains from WGS data, even when bioinformatics knowledge is limited.Batch uploads are not allowed,can’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015
GenTB
https://gentb.hms.harvard.edu
For analyzing and predicting drug resistances to MTBMEM–Align–based sequence alignmentSE/SP: GenTB-RF: 77.6%, 96.2%
GenTB-WDNN: 75.4%, 96.1%
FASTQ files and varient call fileMutation frequencyUsers can choose between two potential predictors, a RF classifier and a Wide and Deep Neural NetworkNeed to quality control input sequence data before prediction; multipoint mutations cannot be predicted2021
AMRFinderPlus
https://www.ncbi.nlm.nih.gov/pathogens/antimicrobial resistance/AMRFinder/
Predicts drug resistance-associated point mutationsBLAST-based sequence alignmentFASTAReportCan detect acquired genes and point mutations in both protein and nucleotide sequenceNot easy to use2021
SAM-TB
https://samtb.uni-medica.com/
Detects MTB drug resistance and transmissionBWA (BWT-based) sequence mappingSE: 93.9%,
SP: 96.2%
FASTQMutation frequency, mutation detailsIntegrates drug-resistance prediction with strain genetic relationships and species identification of nontuberculous mycobacteriaPredictable anti-TB drugs are limited2022

aAbbreviation: AchE: Acetylcholine esterase; WGS: Whole Genome Sequencing; AMR: Antimicrobial resistance; DRMs: Drug resistance mutations; MTB: M. tuberculosis; SA: S. aureus.

bAbbreviation: BWT: Burrows–Wheeler Transform, KMA: K-mer alignment, uses k-mer seeding to speed up mapping and the Needleman–Wunsch algorithm to accurately align extensions from k-mer seeds. BWA: Burrows-Wheeler Alignment, a short read alignment with BWT. MSA: multiple sequence alignment. TGH: A new statistical score, viz tree-generalized hypergeometric score. Kalign: An MSA program that uses a SIMD (single instruction, multiple data) accelerated version of the bit-parallel Gene Myers algorithm. MEM-Align: A fast semi-global alignment algorithm for short DNA sequences that allows for affine-gap scoring and exploit sequence similarity. BLAST: The Basic Local Alignment Search Tool.

cPerformance: The sample information of the performance corresponding to these severs is provided in detail. FastD: They detected 469 (89.7%) variants among the inserted variants, calling performance using AUC in ROC curve. ROC with an AUC of 0.870 indicated a reliable calling performance. They compared the detected allele frequencies of detected variants with their set allele frequencies and found that the allele frequencies calculated by FastD-TR were highly correlated with their ‘true’ allele frequencies (R2 = 0.834; ρ < 10−16). LRE-Finder: Fastq files from 21 LRE isolates were submitted to LRE-Finder. As negative controls, fastq files from 1473 non-LRE isolates were submitted to LRE-Finder. The MICs of linezolid were determined for the 21 LRE isolates. As LRE-negative controls, 26 VRE isolates were additionally selected for linezolid MIC determination. It was validated and showed 100% concordance with phenotypic susceptibility testing. PointFinder: A total of 685 different phenotypic tests associated with chromosomal resistance to quinolones, polymyxin, rifampicin, macrolides and tetracyclines resulted in 98.4% concordance. GWAMAR: Precision-recall curves for comparison of different association scores implemented in GWAMAR. One presents results for the mtu173 dataset (39 positives; 1450 negatives), AUC = 0.28; the other for the mtu_broad dataset (75 positives; 870 negatives), AUC = 0.43. Mykrobe predictor: With SE/SP of 99.1%/99.6% across 12 antibiotics (using an independent validation set, n = 470). For MTB, the method predicts resistance with SE/SP of 82.6%/98.5% (independent validation set, n = 1609). PhyResSE: PhyResSE was tested with 92 strains from a well-characterized strain collection from Sierra Leone that comprised 44 phenotypically susceptible strains and 48 strains. 100% concordance for resistance SNPs in katG, inhA, ahpC, rrs, rpsL, embA and embC; 98.91% concordance for those in gidB and pncA; and 97.83% concordance for those in rpoB and embB. KvarQ: KvarQ successfully detect all main DRMs and phylogenetic markers in 880 bacterial whole genome sequences. The variant calls of a subset of these genomes were validated with a standard bioinformatics pipeline and revealed >99% congruency. GenTB: using a ground truth dataset of 20,408 isolates with laboratory-based drug susceptibility data. The mean sensitivities for GenTB RF and GenTB-WDNN across the nine shared drugs were 77.6% and 75.4%, respectively. The specificity: GenTB-WDNN 96.2%, and GenTB-RF 96.1%. SAM-TB: The accuracy of SAM-TB in predicting drug-resistance was assessed using 3177 sequenced clinical isolates with results of phenotypic drug-susceptibility tests (pDST). Compared to pDST, the sensitivity of SAM-TB for detecting multidrug-resistant tuberculosis was 93.9% with specificity of 96.2%. Abbreviation: AUC: Area Under Curve. AC: Accuracy. SE: Sensitivity. SP: Specificity.

dSAM file: the file of SAM format; NGS: next generation sequencing.

Table 4

Web servers for predicting DRMs from sequence data

Server/URLFunctionalityaOperating principlesbPerformancecInputsdOutputsAdvantagesLimitationsYear
Predict DRMs from insect sequence
ACE
http://genome.zju.edu.cn/software/ace/
Detect insecticide resistance mutations in AchE by RNA-Seq dataBWT-based sequence mappingFASTA or FASTQMutation frequency, Resistance frequencyThe first tool to detect DRMs from RNA-Seq data, can detect resistant reads at low frequencyOnly one target resistance mutation can be detected currently2017
FastD
http://www.insect-genome.com/fastd
Detect insecticide resistance target-site mutations by RNA-Seq dataBWT–based sequence mappingAUC: 0.87,
R2 = 0.834,
AC: 89.7%
cDNA sequences, SAM fileMutation frequency, Resistance frequencyCan identify the new target-site mutations, using SAM files as input which can analyze the samples more quicklyThe accuracy of mutation frequency is limited by the fact that RNA-Seq reads from pooled sample have potentially different levels of contribution from each insect sample and allele2019
Predict DRMs from microorganism sequence
LRE-Finder
https://cge.food.dtu.dk/services/LRE-Finder-1.0/
Detects the 23S rRNA mutations and linezolid resistance in enterococci
by WGS data
KMA–based sequence mappingAC: 100%Elm database, threshholds, FASTA or FASTQMutations, wild-type ratio, MT type ratio and predicted phenotypeThe first report of a G2505A mutation detected in vivo in an E. faecium isolate from a patientUsing draft as sembly sequences will fail to detect mutations in 23S, when these mutations are constituting
only a minority of the bases in the given position
2019
PointFinder
https://cge.cbs.dtu.dk/services/
Detects AMR chromosomal point mutations in bacteriaBLAST-based sequence alignmentAC: 98.4%FASTQThe output from the web tool is easily understandableLow accessibility2018
MinVar
http://git.io/minvar
Detects minority variants in HIV-1 and HCV populationsBWA (BWT-based) sequence mappingFASTQA table with amino acid mutations with
respect to HIV-1 consensus B, annotated according to the class
of resistance defined in the Stanford HIVdb
Detect DRMs without the need to perform additional bioinformatics analysis; Be compatible with a diverse range of sequencing platformsThere is no check for minimum acceptable and uniform coverage. For anomalous samples, a strategy to correct this skew is not chosen2017
GWAMAR
http://bioputer.mimuw.edu.pl/gwamar/
Detects DRMs in bacteria from WGS dataMSA, TGHAUC: 0.28, 0.43Mutations, drug resistance profiles, phylogenetic treeScored list of putative associations of drug resistance with mutationsDesigned a new statistical score TGH(i) it doesn’t consider or predict epistatic interactions between mutations. (ii) it considers only genomic changes ignoring levels of gene expression. (iii) it provides putative in silico associations which should be subjected to further investigation in wet lab experiments.2014
HIVfird
www.hivfird.ics.ufba.br
Detects mutatons in HIV-1 sequences that confer resistance to EnfuvirtideKalign-based sequence alignmentDNA FASTAHTML file return from server with detection reportThe first software to predict the resistance of HIV-1 strains to the fusion inhibitors based on the virus DNA sequenceOnly nucleotide sequences can be used as input, protein sequences cannot be used as input2019
Resistance Sniffer
http://resistance-sniffer.bi.up.ac.za/
Predicts drug resistance patterns of MTB isolatesBWT-based sequence mappingFASTA/FASTQA bar plot of
the probability that the strain is drug sensitive or drug resistant to the 13 antibiotics
Can be used at different stages of whole genome completionPredictable anti-TB drugs are limited2019
Mykrobe predictor
https://www.mykrobe.com/
Predicts drug resistance for MTB and SA from WGS dataBWT-based sequence mappingSE/SP: 99.1%/99.6%; 82.6%/98.5%FASTQClinician-friendly reportA system robust to mixtureBatch uploads are not allowed, can’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015
TB-Profiler
https://tbdr.lshtm.ac.uk/
Detects anti-TB drug resistance from WGS dataBWA (BWT-based) sequence alignmentFASTQHTML with drug resistance profile/lineagesThe mutation library is more accurate than current commercial molecular tests and alternative mutation databasesBatch uploads are not allowed, can’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015, 2019
PhyResSE
http://phyresse.org
Delineates drug resistance of MTB from WGS dataBLAST-based sequence mappingAC: 97.83%–100%FASTQHTML with drug resistance profile and lineagesSimple to use, befits human diagnosticsCan’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015
KvarQ
http://www.swisstph.ch/kvarq.
Detects DRMs in bacterial from WGS dataBWA (BWT-based) sequence alignmentAC:
>99%
FASTQA text file in JavaScript Object Notation formatDirectly extracts relevant information from fastq files, easy to useCan’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2014
CASTB
http://castb.ri.ncgm.go.jp/CASTB
Predicts drug resistance for MTB from WGS dataFASTA/ FASTQSpoligotypes, VNTR, LSP lineages and SNP based tree with e-mail notificationCASTB is a useful tool for identifying strains from WGS data, even when bioinformatics knowledge is limited.Batch uploads are not allowed,can’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015
GenTB
https://gentb.hms.harvard.edu
For analyzing and predicting drug resistances to MTBMEM–Align–based sequence alignmentSE/SP: GenTB-RF: 77.6%, 96.2%
GenTB-WDNN: 75.4%, 96.1%
FASTQ files and varient call fileMutation frequencyUsers can choose between two potential predictors, a RF classifier and a Wide and Deep Neural NetworkNeed to quality control input sequence data before prediction; multipoint mutations cannot be predicted2021
AMRFinderPlus
https://www.ncbi.nlm.nih.gov/pathogens/antimicrobial resistance/AMRFinder/
Predicts drug resistance-associated point mutationsBLAST-based sequence alignmentFASTAReportCan detect acquired genes and point mutations in both protein and nucleotide sequenceNot easy to use2021
SAM-TB
https://samtb.uni-medica.com/
Detects MTB drug resistance and transmissionBWA (BWT-based) sequence mappingSE: 93.9%,
SP: 96.2%
FASTQMutation frequency, mutation detailsIntegrates drug-resistance prediction with strain genetic relationships and species identification of nontuberculous mycobacteriaPredictable anti-TB drugs are limited2022
Server/URLFunctionalityaOperating principlesbPerformancecInputsdOutputsAdvantagesLimitationsYear
Predict DRMs from insect sequence
ACE
http://genome.zju.edu.cn/software/ace/
Detect insecticide resistance mutations in AchE by RNA-Seq dataBWT-based sequence mappingFASTA or FASTQMutation frequency, Resistance frequencyThe first tool to detect DRMs from RNA-Seq data, can detect resistant reads at low frequencyOnly one target resistance mutation can be detected currently2017
FastD
http://www.insect-genome.com/fastd
Detect insecticide resistance target-site mutations by RNA-Seq dataBWT–based sequence mappingAUC: 0.87,
R2 = 0.834,
AC: 89.7%
cDNA sequences, SAM fileMutation frequency, Resistance frequencyCan identify the new target-site mutations, using SAM files as input which can analyze the samples more quicklyThe accuracy of mutation frequency is limited by the fact that RNA-Seq reads from pooled sample have potentially different levels of contribution from each insect sample and allele2019
Predict DRMs from microorganism sequence
LRE-Finder
https://cge.food.dtu.dk/services/LRE-Finder-1.0/
Detects the 23S rRNA mutations and linezolid resistance in enterococci
by WGS data
KMA–based sequence mappingAC: 100%Elm database, threshholds, FASTA or FASTQMutations, wild-type ratio, MT type ratio and predicted phenotypeThe first report of a G2505A mutation detected in vivo in an E. faecium isolate from a patientUsing draft as sembly sequences will fail to detect mutations in 23S, when these mutations are constituting
only a minority of the bases in the given position
2019
PointFinder
https://cge.cbs.dtu.dk/services/
Detects AMR chromosomal point mutations in bacteriaBLAST-based sequence alignmentAC: 98.4%FASTQThe output from the web tool is easily understandableLow accessibility2018
MinVar
http://git.io/minvar
Detects minority variants in HIV-1 and HCV populationsBWA (BWT-based) sequence mappingFASTQA table with amino acid mutations with
respect to HIV-1 consensus B, annotated according to the class
of resistance defined in the Stanford HIVdb
Detect DRMs without the need to perform additional bioinformatics analysis; Be compatible with a diverse range of sequencing platformsThere is no check for minimum acceptable and uniform coverage. For anomalous samples, a strategy to correct this skew is not chosen2017
GWAMAR
http://bioputer.mimuw.edu.pl/gwamar/
Detects DRMs in bacteria from WGS dataMSA, TGHAUC: 0.28, 0.43Mutations, drug resistance profiles, phylogenetic treeScored list of putative associations of drug resistance with mutationsDesigned a new statistical score TGH(i) it doesn’t consider or predict epistatic interactions between mutations. (ii) it considers only genomic changes ignoring levels of gene expression. (iii) it provides putative in silico associations which should be subjected to further investigation in wet lab experiments.2014
HIVfird
www.hivfird.ics.ufba.br
Detects mutatons in HIV-1 sequences that confer resistance to EnfuvirtideKalign-based sequence alignmentDNA FASTAHTML file return from server with detection reportThe first software to predict the resistance of HIV-1 strains to the fusion inhibitors based on the virus DNA sequenceOnly nucleotide sequences can be used as input, protein sequences cannot be used as input2019
Resistance Sniffer
http://resistance-sniffer.bi.up.ac.za/
Predicts drug resistance patterns of MTB isolatesBWT-based sequence mappingFASTA/FASTQA bar plot of
the probability that the strain is drug sensitive or drug resistant to the 13 antibiotics
Can be used at different stages of whole genome completionPredictable anti-TB drugs are limited2019
Mykrobe predictor
https://www.mykrobe.com/
Predicts drug resistance for MTB and SA from WGS dataBWT-based sequence mappingSE/SP: 99.1%/99.6%; 82.6%/98.5%FASTQClinician-friendly reportA system robust to mixtureBatch uploads are not allowed, can’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015
TB-Profiler
https://tbdr.lshtm.ac.uk/
Detects anti-TB drug resistance from WGS dataBWA (BWT-based) sequence alignmentFASTQHTML with drug resistance profile/lineagesThe mutation library is more accurate than current commercial molecular tests and alternative mutation databasesBatch uploads are not allowed, can’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015, 2019
PhyResSE
http://phyresse.org
Delineates drug resistance of MTB from WGS dataBLAST-based sequence mappingAC: 97.83%–100%FASTQHTML with drug resistance profile and lineagesSimple to use, befits human diagnosticsCan’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015
KvarQ
http://www.swisstph.ch/kvarq.
Detects DRMs in bacterial from WGS dataBWA (BWT-based) sequence alignmentAC:
>99%
FASTQA text file in JavaScript Object Notation formatDirectly extracts relevant information from fastq files, easy to useCan’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2014
CASTB
http://castb.ri.ncgm.go.jp/CASTB
Predicts drug resistance for MTB from WGS dataFASTA/ FASTQSpoligotypes, VNTR, LSP lineages and SNP based tree with e-mail notificationCASTB is a useful tool for identifying strains from WGS data, even when bioinformatics knowledge is limited.Batch uploads are not allowed,can’t interpret low frequency mutations with some of the platforms completely insensitive to indels and variants in promoter regions2015
GenTB
https://gentb.hms.harvard.edu
For analyzing and predicting drug resistances to MTBMEM–Align–based sequence alignmentSE/SP: GenTB-RF: 77.6%, 96.2%
GenTB-WDNN: 75.4%, 96.1%
FASTQ files and varient call fileMutation frequencyUsers can choose between two potential predictors, a RF classifier and a Wide and Deep Neural NetworkNeed to quality control input sequence data before prediction; multipoint mutations cannot be predicted2021
AMRFinderPlus
https://www.ncbi.nlm.nih.gov/pathogens/antimicrobial resistance/AMRFinder/
Predicts drug resistance-associated point mutationsBLAST-based sequence alignmentFASTAReportCan detect acquired genes and point mutations in both protein and nucleotide sequenceNot easy to use2021
SAM-TB
https://samtb.uni-medica.com/
Detects MTB drug resistance and transmissionBWA (BWT-based) sequence mappingSE: 93.9%,
SP: 96.2%
FASTQMutation frequency, mutation detailsIntegrates drug-resistance prediction with strain genetic relationships and species identification of nontuberculous mycobacteriaPredictable anti-TB drugs are limited2022

aAbbreviation: AchE: Acetylcholine esterase; WGS: Whole Genome Sequencing; AMR: Antimicrobial resistance; DRMs: Drug resistance mutations; MTB: M. tuberculosis; SA: S. aureus.

bAbbreviation: BWT: Burrows–Wheeler Transform, KMA: K-mer alignment, uses k-mer seeding to speed up mapping and the Needleman–Wunsch algorithm to accurately align extensions from k-mer seeds. BWA: Burrows-Wheeler Alignment, a short read alignment with BWT. MSA: multiple sequence alignment. TGH: A new statistical score, viz tree-generalized hypergeometric score. Kalign: An MSA program that uses a SIMD (single instruction, multiple data) accelerated version of the bit-parallel Gene Myers algorithm. MEM-Align: A fast semi-global alignment algorithm for short DNA sequences that allows for affine-gap scoring and exploit sequence similarity. BLAST: The Basic Local Alignment Search Tool.

cPerformance: The sample information of the performance corresponding to these severs is provided in detail. FastD: They detected 469 (89.7%) variants among the inserted variants, calling performance using AUC in ROC curve. ROC with an AUC of 0.870 indicated a reliable calling performance. They compared the detected allele frequencies of detected variants with their set allele frequencies and found that the allele frequencies calculated by FastD-TR were highly correlated with their ‘true’ allele frequencies (R2 = 0.834; ρ < 10−16). LRE-Finder: Fastq files from 21 LRE isolates were submitted to LRE-Finder. As negative controls, fastq files from 1473 non-LRE isolates were submitted to LRE-Finder. The MICs of linezolid were determined for the 21 LRE isolates. As LRE-negative controls, 26 VRE isolates were additionally selected for linezolid MIC determination. It was validated and showed 100% concordance with phenotypic susceptibility testing. PointFinder: A total of 685 different phenotypic tests associated with chromosomal resistance to quinolones, polymyxin, rifampicin, macrolides and tetracyclines resulted in 98.4% concordance. GWAMAR: Precision-recall curves for comparison of different association scores implemented in GWAMAR. One presents results for the mtu173 dataset (39 positives; 1450 negatives), AUC = 0.28; the other for the mtu_broad dataset (75 positives; 870 negatives), AUC = 0.43. Mykrobe predictor: With SE/SP of 99.1%/99.6% across 12 antibiotics (using an independent validation set, n = 470). For MTB, the method predicts resistance with SE/SP of 82.6%/98.5% (independent validation set, n = 1609). PhyResSE: PhyResSE was tested with 92 strains from a well-characterized strain collection from Sierra Leone that comprised 44 phenotypically susceptible strains and 48 strains. 100% concordance for resistance SNPs in katG, inhA, ahpC, rrs, rpsL, embA and embC; 98.91% concordance for those in gidB and pncA; and 97.83% concordance for those in rpoB and embB. KvarQ: KvarQ successfully detect all main DRMs and phylogenetic markers in 880 bacterial whole genome sequences. The variant calls of a subset of these genomes were validated with a standard bioinformatics pipeline and revealed >99% congruency. GenTB: using a ground truth dataset of 20,408 isolates with laboratory-based drug susceptibility data. The mean sensitivities for GenTB RF and GenTB-WDNN across the nine shared drugs were 77.6% and 75.4%, respectively. The specificity: GenTB-WDNN 96.2%, and GenTB-RF 96.1%. SAM-TB: The accuracy of SAM-TB in predicting drug-resistance was assessed using 3177 sequenced clinical isolates with results of phenotypic drug-susceptibility tests (pDST). Compared to pDST, the sensitivity of SAM-TB for detecting multidrug-resistant tuberculosis was 93.9% with specificity of 96.2%. Abbreviation: AUC: Area Under Curve. AC: Accuracy. SE: Sensitivity. SP: Specificity.

dSAM file: the file of SAM format; NGS: next generation sequencing.

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