Molecular validation of clinical Pantoea isolates identified by MALDI-TOF

Craig D Soutar1, John Stavrinides1

  • 1Department of Biology, University of Regina, Regina, Saskatchewan, Canada.

Plos One
|November 5, 2019
PubMed

Insights

Matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF) misidentified 24% of clinical Pantoea isolates. Molecular typing revealed misidentified bacteria included other Enterobacteriaceae, highlighting limitations in rapid diagnostic methods.

Area of Science:

  • Clinical microbiology
  • Bacterial identification
  • Molecular typing

Background:

  • The Enterobacterial genus Pantoea includes free-living and host-associated species.
  • Accurate identification of Pantoea in clinical settings is debated.
  • Matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF) is a common but potentially unreliable method for Pantoea identification.

Purpose of the Study:

  • To assess the reliability of MALDI-TOF for identifying Pantoea species in clinical isolates.
  • To molecularly characterize clinical isolates initially identified as Pantoea.

Main Methods:

  • Collected 54 clinical isolates identified as Pantoea via MALDI-TOF and other clinical methods.
  • Performed cpn60-based molecular typing for accurate identification.
  • Compared molecular results with initial MALDI-TOF identifications.

Main Results:

  • 24% of isolates initially identified as Pantoea were misidentified.
  • Misidentified strains belonged to genera such as Citrobacter, Enterobacter, Kosakonia, Klebsiella, and Erwinia.
  • Confirmed Pantoea strains included P. agglomerans, P. allii, P. dispersa, P. eucalypti, P. septica, and P. latae.
  • Plant-associated species like P. allii and P. eucalypti were found in clinical specimens.

Conclusions:

  • MALDI-TOF misidentifies a significant proportion of Enterobacteriaceae as Pantoea.
  • cpn60-based molecular typing is crucial for accurate identification of Pantoea and related bacteria.
  • Clinical isolates may include environmental/plant-associated Pantoea species, necessitating careful identification.