Rapid and Accurate Identification of Nontuberculous Mycobacteria Directly from Positive Primary MGIT Cultures by MALDI-TOF MS

Over the last years, nontuberculous mycobacteria (NTM) have emerged as important human pathogens. Accurate and rapid mycobacterial species identification is needed to successfully diagnose, treat, and manage infections caused by NTM. Matrix-assisted laser desorption ionization time-of-flight mass sp...

Full description

Bibliographic Details
Main Authors: Laura Rindi, Vincenzo Puglisi, Iacopo Franconi, Roberta Fais, Antonella Lupetti
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/10/7/1447
_version_ 1827627676564717568
author Laura Rindi
Vincenzo Puglisi
Iacopo Franconi
Roberta Fais
Antonella Lupetti
author_facet Laura Rindi
Vincenzo Puglisi
Iacopo Franconi
Roberta Fais
Antonella Lupetti
author_sort Laura Rindi
collection DOAJ
description Over the last years, nontuberculous mycobacteria (NTM) have emerged as important human pathogens. Accurate and rapid mycobacterial species identification is needed to successfully diagnose, treat, and manage infections caused by NTM. Matrix-assisted laser desorption ionization time-of-flight mass spectrometry, MALDI-TOF MS, was demonstrated to effectively identify mycobacteria isolates subcultured from solid or liquid media rather than new positive cultures. The present study aims to develop a new extraction protocol to yield rapid and accurate identification of NTM from primary MGIT cultures by MALDI-TOF MS. A total of 60 positive MGIT broths were examined by the Bruker Biotyper system with Mycobacteria Library v. 2.0 (Bruker Daltonics GmbH & Co. KG., Bremen, Germany). The results were compared with those obtained by the molecular method, line probe assay GenoType Mycobacterium CM/AS/NTM-DR. All samples were concordantly identified by MALDI-TOF MS and the molecular test for all the tested mycobacteria. Fifty-seven (95%) MGIT positive cultures for NTM from clinical samples had a MALDI-TOF MS analysis score S ≥ 1.8. Although a small number of strains and a limited diversity of mycobacterial species were analysed, our results suggest that MALDI-TOF MS could represent a promising routine diagnostic tool for identifying mycobacterial species directly from primary liquid culture.
first_indexed 2024-03-09T13:20:17Z
format Article
id doaj.art-46f52f28ce94436aaa83d37b0a803ee8
institution Directory Open Access Journal
issn 2076-2607
language English
last_indexed 2024-03-09T13:20:17Z
publishDate 2022-07-01
publisher MDPI AG
record_format Article
series Microorganisms
spelling doaj.art-46f52f28ce94436aaa83d37b0a803ee82023-11-30T21:31:08ZengMDPI AGMicroorganisms2076-26072022-07-01107144710.3390/microorganisms10071447Rapid and Accurate Identification of Nontuberculous Mycobacteria Directly from Positive Primary MGIT Cultures by MALDI-TOF MSLaura Rindi0Vincenzo Puglisi1Iacopo Franconi2Roberta Fais3Antonella Lupetti4Dipartimento di Ricerca Traslazionale e delle Nuove Tecnologie in Medicina e Chirurgia, Università di Pisa, 56126 Pisa, ItalySD Microbiologia Micologica, Azienda Ospedaliero-Universitaria Pisana, 56126 Pisa, ItalyDipartimento di Ricerca Traslazionale e delle Nuove Tecnologie in Medicina e Chirurgia, Università di Pisa, 56126 Pisa, ItalySD Microbiologia Micologica, Azienda Ospedaliero-Universitaria Pisana, 56126 Pisa, ItalyDipartimento di Ricerca Traslazionale e delle Nuove Tecnologie in Medicina e Chirurgia, Università di Pisa, 56126 Pisa, ItalyOver the last years, nontuberculous mycobacteria (NTM) have emerged as important human pathogens. Accurate and rapid mycobacterial species identification is needed to successfully diagnose, treat, and manage infections caused by NTM. Matrix-assisted laser desorption ionization time-of-flight mass spectrometry, MALDI-TOF MS, was demonstrated to effectively identify mycobacteria isolates subcultured from solid or liquid media rather than new positive cultures. The present study aims to develop a new extraction protocol to yield rapid and accurate identification of NTM from primary MGIT cultures by MALDI-TOF MS. A total of 60 positive MGIT broths were examined by the Bruker Biotyper system with Mycobacteria Library v. 2.0 (Bruker Daltonics GmbH & Co. KG., Bremen, Germany). The results were compared with those obtained by the molecular method, line probe assay GenoType Mycobacterium CM/AS/NTM-DR. All samples were concordantly identified by MALDI-TOF MS and the molecular test for all the tested mycobacteria. Fifty-seven (95%) MGIT positive cultures for NTM from clinical samples had a MALDI-TOF MS analysis score S ≥ 1.8. Although a small number of strains and a limited diversity of mycobacterial species were analysed, our results suggest that MALDI-TOF MS could represent a promising routine diagnostic tool for identifying mycobacterial species directly from primary liquid culture.https://www.mdpi.com/2076-2607/10/7/1447nontuberculous mycobacteriaMALDI-TOF MSprimary liquid culture
spellingShingle Laura Rindi
Vincenzo Puglisi
Iacopo Franconi
Roberta Fais
Antonella Lupetti
Rapid and Accurate Identification of Nontuberculous Mycobacteria Directly from Positive Primary MGIT Cultures by MALDI-TOF MS
Microorganisms
nontuberculous mycobacteria
MALDI-TOF MS
primary liquid culture
title Rapid and Accurate Identification of Nontuberculous Mycobacteria Directly from Positive Primary MGIT Cultures by MALDI-TOF MS
title_full Rapid and Accurate Identification of Nontuberculous Mycobacteria Directly from Positive Primary MGIT Cultures by MALDI-TOF MS
title_fullStr Rapid and Accurate Identification of Nontuberculous Mycobacteria Directly from Positive Primary MGIT Cultures by MALDI-TOF MS
title_full_unstemmed Rapid and Accurate Identification of Nontuberculous Mycobacteria Directly from Positive Primary MGIT Cultures by MALDI-TOF MS
title_short Rapid and Accurate Identification of Nontuberculous Mycobacteria Directly from Positive Primary MGIT Cultures by MALDI-TOF MS
title_sort rapid and accurate identification of nontuberculous mycobacteria directly from positive primary mgit cultures by maldi tof ms
topic nontuberculous mycobacteria
MALDI-TOF MS
primary liquid culture
url https://www.mdpi.com/2076-2607/10/7/1447
work_keys_str_mv AT laurarindi rapidandaccurateidentificationofnontuberculousmycobacteriadirectlyfrompositiveprimarymgitculturesbymalditofms
AT vincenzopuglisi rapidandaccurateidentificationofnontuberculousmycobacteriadirectlyfrompositiveprimarymgitculturesbymalditofms
AT iacopofranconi rapidandaccurateidentificationofnontuberculousmycobacteriadirectlyfrompositiveprimarymgitculturesbymalditofms
AT robertafais rapidandaccurateidentificationofnontuberculousmycobacteriadirectlyfrompositiveprimarymgitculturesbymalditofms
AT antonellalupetti rapidandaccurateidentificationofnontuberculousmycobacteriadirectlyfrompositiveprimarymgitculturesbymalditofms