Borman Andrew M, Fraser Mark, Szekely Adrien, Larcombe Daniel E, Johnson Elizabeth M
PHE UK National Mycology Reference Laboratory, Bristol, United Kingdom
PHE UK National Mycology Reference Laboratory, Bristol, United Kingdom.
J Clin Microbiol. 2017 Apr;55(4):1162-1176. doi: 10.1128/JCM.02459-16. Epub 2017 Jan 25.
is a ubiquitous pleomorphic genus comprising at least 40 species, many of which have been associated with superficial, visceral, or systemic infections in humans, other mammals, or cold-blooded animals. In this study, we investigated the potential of matrix-assisted laser desorption-ionization time of flight mass spectrometry (MALDI-TOF MS) for the identification of species. A total of 89 isolates (including 50 human and 4 animal clinical isolates) stored in the National Collection of Pathogenic Fungi were identified by PCR amplification and sequencing of internal transcribed spacer region 1. Eighty-three of the isolates corresponded to 16 known species within The remaining six isolates are shown by phylogenetic analyses based on four loci to represent two novel species. Four isolates from domestic bathrooms which form a sister species with are described here as sp. nov. The remaining two isolates, both from subcutaneous infections, are distantly related to and are described here as sp. nov. The triazoles and terbinafine exhibited low MICs against all isolates MALDI-TOF MS successfully distinguished all 18 species and identified all isolates after appropriate reference spectra were created and added to commercial databases. Intraspecific mean log scores ranged from 1.786 to 2.584 and were consistently significantly higher than interspecific scores (1.193 to 1.624), with the exception of and , for which there was considerable log score overlap. In summary, MALDI-TOF MS allows the rapid and accurate identification of a wide range of clinically relevant species.
是一个无处不在的多形属,包含至少40个物种,其中许多与人类、其他哺乳动物或冷血动物的浅表、内脏或全身感染有关。在本研究中,我们调查了基质辅助激光解吸电离飞行时间质谱(MALDI-TOF MS)用于鉴定该属物种的潜力。通过对核糖体DNA内转录间隔区1进行PCR扩增和测序,对保存在国家致病真菌保藏中心的89株分离株(包括50株人类临床分离株和4株动物临床分离株)进行了鉴定。其中83株分离株对应于该属内16个已知物种。其余6株分离株通过基于四个基因座的系统发育分析表明代表两个新的该属物种。来自家庭浴室的4株分离株与该属某一物种形成姐妹种,在此描述为新种。其余2株分离株均来自皮下感染,与该属某一物种亲缘关系较远,在此描述为新种。三唑类药物和特比萘芬对所有该属分离株均表现出低最低抑菌浓度。在创建并将适当的参考光谱添加到商业数据库后,MALDI-TOF MS成功区分了所有18个物种并鉴定了所有分离株。种内平均对数分数范围为1.786至2.584,除某两个物种外,始终显著高于种间分数(1.193至1.624),这两个物种的对数分数有相当大的重叠。总之,MALDI-TOF MS能够快速准确地鉴定多种临床相关的该属物种。