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Related Concept Videos

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MALDI-TOF-Based Dermatophyte Identification.

Coralie L'Ollivier1,2, Stéphane Ranque3,4,5

  • 1Aix-Marseille University, IP-TPT UMR MD3, 13885, Marseille, France.

Mycopathologia
|October 14, 2016
PubMed
Summary
This summary is machine-generated.

Matrix-assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF MS) offers a rapid and accurate method for identifying microorganisms. Optimizing protein extraction and using comprehensive spectral libraries are crucial for reliable dermatophyte identification using MALDI-TOF MS.

Keywords:
Clinical laboratoryDermatophyteIdentificationMass spectrometryPerformance

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Area of Science:

  • Clinical Microbiology
  • Mycology
  • Mass Spectrometry

Background:

  • Matrix-assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF MS) is increasingly used for routine microorganism identification.
  • Traditional methods for identifying filamentous fungi, particularly dermatophytes, are time-consuming and labor-intensive.
  • Accurate identification of dermatophytes is challenging due to taxonomic complexities and variability in identification methods.

Purpose of the Study:

  • To evaluate the accuracy and identify critical factors for implementing MALDI-TOF MS for dermatophyte identification in clinical laboratories.
  • To compare MALDI-TOF MS with conventional identification methods and DNA sequencing.

Main Methods:

  • A review of ten studies published between 2008 and 2015 assessed MALDI-TOF MS accuracy for dermatophytes.
  • Key procedural steps, including protein extraction and library composition, were analyzed for their impact on identification accuracy.
  • Variability related to culture media, incubation time, and mass spectrometry instrumentation was examined.

Main Results:

  • MALDI-TOF MS identification accuracy for dermatophytes varied widely (13.5% to 100%) across studies, linked to procedural inconsistencies.
  • A complete formic acid-acetonitrile protein extraction and a combined manufacturer and homemade reference spectra library are essential for accuracy.
  • Identification accuracy was not significantly affected by culture medium, incubation duration, or mass spectrometry instrument type.

Conclusions:

  • Optimized MALDI-TOF MS protocols, with adequate reference spectral libraries, provide economical and accurate dermatophyte identification.
  • This technique offers an advantageous alternative to conventional morphology-based identification, improving efficiency in routine clinical laboratories.
  • MALDI-TOF MS accuracy is comparable to DNA sequencing when appropriate protocols and libraries are employed for dermatophyte identification.