title: High throughput identification of clinical isolates of Staphylococcus aureus using MALDI-TOF-MS of intact cells.
abstract: Staphylococcus aureus remains an important human pathogen responsible for a high burden of disease in healthcare and community settings. The emergence of multidrug-resistant strains is of increasing concern world-wide. The identification of S. aureus is currently based upon phenotypic and genotypic methods. Here, an alternative approach involving mass spectral analysis of surface-associated proteins of intact bacterial cells by matrix-assisted laser desorption/ionisation time of flight mass spectrometry (MALDI-TOF-MS) was investigated using 95 isolates obtained directly from a clinical laboratory at The Royal London Hospital and 39 isolates from the Staphylococcal Reference Unit, Health Protection Agency, London. Results obtained indicate that clinical isolates share many common mass ions with-type/reference strains which allowed their correct identification when searched against a comprehensive database that has been in the process of development for several years. The existing database contains more than 5000 profiles of various bacterial pathogens, but comprises mainly type or reference strains. The MicrobeLynx software successfully identified all isolates to the correct genus and all but four to the correct species. These were misidentified in the first instance due to contamination or low mass ion intensity but once the cultures were purified and re-analysed they were confirmed as S. aureus by both MALDI-TOF-MS and 16S rRNA sequence analysis. The high percentage of correct identifications coupled with the high speed and the minimal sample preparation required, indicate that MALDI-TOF-MS has the potential to perform high throughput identification of clinical isolates of S. aureus despite the inherent diversity of this species. The method is, however, only reproducible if variable parameters such as sample preparation, media, growth condition, etc. are standardised.
authors.affiliation: Department for Bioanalysis and Horizon Technologies, Health Protection Agency Centre for Infections, London, United Kingdom.
authors.forename: Lakshani
authors.initials: L
authors.lastname: Rajakaruna
authors.forename: Gillian
authors.initials: G
authors.lastname: Hallas
authors.forename: Linda
authors.initials: L
authors.lastname: Molenaar
authors.forename: Diane
authors.initials: D
authors.lastname: Dare
authors.forename: Helen
authors.initials: H
authors.lastname: Sutton
authors.forename: Vesela
authors.initials: V
authors.lastname: Encheva
authors.forename: Renata
authors.initials: R
authors.lastname: Culak
authors.forename: Ingrid
authors.initials: I
authors.lastname: Innes
authors.forename: Graham
authors.initials: G
authors.lastname: Ball
authors.forename: Armine M
authors.initials: AM
authors.lastname: Sefton
authors.forename: Melvin
authors.initials: M
authors.lastname: Eydmann
authors.forename: Angela M
authors.initials: AM
authors.lastname: Kearns
authors.forename: Haroun N
authors.initials: HN
authors.lastname: Shah
mesh_terms: D001426:Bacterial Proteins / Q000737:chemistry*; D001431:Bacteriological Techniques; D018929:Cell Culture Techniques; D030541:Databases, Genetic; D006801:Humans; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D015203:Reproducibility of Results; D019032:Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization / Q000379:methods*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000737:chemistry / Q000145:classification* / Q000166:cytology / Q000302:isolation & purification
chemical_list: D001426:Bacterial Proteins; D012336:RNA, Ribosomal, 16S