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Identification of Rare Bacterial Pathogens by 16S rRNA Gene Sequencing and MALDI-TOF MS
Published on: July 11, 2016
Performance of MALDI-TOF MS for identification of oral Prevotella species
Mervi Gürsoy1, Inka Harju2, Jaakko Matomäki3
1Department of Periodontology, Institute of Dentistry, University of Turku, Lemminkäisenkatu 2, FI-20520 Turku, Finland.
Abstract:
During the past decade, the clinically relevant genus Prevotella has expanded considerably. Prevotella species can be isolated from nearly all types of oral infections but also from various non-oral infections. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) has been introduced in clinical microbiology laboratories as a convenient method for identifying bacterial isolates from clinical specimens. Here we tested the diagnostic accuracy of a total of 123 oral Prevotella isolates, selected based on their biochemical profile, by Bruker MALDI-TOF MS. Partial 16S rRNA sequencing was used as a reference method. The performance of MALDI-TOF MS to identify the isolates to the genus level was excellent with 100.0% accuracy, while a good identification rate of 88.6% was achieved to the species level with a log score of ≥2.0. The isolates representing P. aurantiaca and P. jejuni, which are currently missing from the MALDI BioTyper database, were identified correctly to the genus level. Of the 123 isolates, one P. pallens isolate (0.8%) was identified with a score variation of 1.7-1.999. Overall, biochemical testing produced a high proportion (70.7%) of incorrect identifications within different species. MALDI-TOF MS offers a reliable and rapid method for the identification of Prevotella species included in the database.
Insights
Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) accurately identifies Prevotella bacteria, crucial for diagnosing oral and non-oral infections. This rapid method surpasses traditional biochemical testing for reliable bacterial identification.
Area of Science:
- Medical Microbiology
- Bacterial Taxonomy
- Diagnostic Technology
Background:
- The genus Prevotella is clinically significant, implicated in diverse oral and non-oral infections.
- Accurate identification of Prevotella species is essential for effective clinical management.
- Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) is a modern technique for bacterial identification.
Purpose of the Study:
- To evaluate the diagnostic accuracy of MALDI-TOF MS for identifying Prevotella species from clinical oral isolates.
- To compare the performance of MALDI-TOF MS against 16S rRNA sequencing as a reference standard.
- To assess the reliability of MALDI-TOF MS for Prevotella identification in clinical microbiology.
Main Methods:
- 123 oral Prevotella isolates were analyzed using Bruker MALDI-TOF MS.
- Isolates were selected based on biochemical profiling.
- Partial 16S rRNA gene sequencing served as the reference method for identification.
Main Results:
- MALDI-TOF MS achieved 100.0% accuracy for genus-level identification of Prevotella.
- Species-level identification accuracy was 88.6% with a log score of ≥2.0.
- Prevotella aurantiaca and P. jejuni, not in the database, were correctly identified to the genus level.
Conclusions:
- MALDI-TOF MS is a reliable and rapid method for identifying Prevotella species within its database.
- The technique demonstrates high accuracy for genus-level identification and good performance at the species level.
- MALDI-TOF MS offers a significant advantage over biochemical testing for Prevotella identification.
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