Shell Waleed S, Sayed Mahmoud Lotfy, Allah Fatma Mohamed Gad, Gamal Fatma Elzahraa Mohamed, Khedr Afaf Ahmed, Samy A A, Ali Abdel Hakam M
Central Laboratory for Evaluation of Veterinary Biologics Abbasaia, Agriculture Research Center, Cairo, Egypt.
Department of Microbiology and Immunology, National Research Center, Cairo, Egypt.
Vet World. 2017 Sep;10(9):1083-1093. doi: 10.14202/vetworld.2017.1083-1093. Epub 2017 Sep 19.
Identification of pathogenic clinical bacterial isolates is mainly dependent on phenotypic and genotypic characteristics of the microorganisms. These conventional methods are costive, time-consuming, and need special skills and training. An alternative, mass spectral (proteomics) analysis method for identification of clinical bacterial isolates has been recognized as a rapid, reliable, and economical method for identification. This study was aimed to evaluate and compare the performance, sensitivity and reliability of traditional bacteriology, phenotypic methods and matrix-assisted laser desorption-ionization-time-of-flight mass spectrometry (MALDI-TOF MS) in the identification of clinical and isolates recovered from chickens.
A total of 110 samples (cloacal, liver, spleen, and/or gall bladder) were collected from apparently healthy and diseased chickens showing clinical signs as white chalky diarrhea, pasty vent, and decrease egg production as well as freshly dead chickens which showing postmortem lesions as enlarged liver with congestion and enlarged gall bladder from different poultry farms.
Depending on colonial characteristics and morphological characteristics, and isolates were recovered and detected in only 42 and 35 samples, respectively. Biochemical identification using API 20E identification system revealed that the suspected isolates were 33 out of 42 of colonial and morphological identified isolates where isolates were represented by 26 out of 35 of colonial and morphological identified isolates. Serological identification of isolates revealed that the most predominant serotypes were O1 and O78 while the most predominant serotype of was Pullorum. All and isolates were examined using MALDI-TOF MS. In agreement with traditional identification, MADI-TOF MS identified all clinical bacterial samples with valid scores as and isolates except two isolates recovered from apparently healthy and diseased birds, respectively, with recovery rate of 93.9% and 2 isolates recovered from apparently healthy and dead birds, respectively, with recovery rate of 92.3%.
Our study demonstrated that Bruker MALDI-TOF MS Biotyper is a reliable rapid and economic tool for the identification of Gram-negative bacteria especially and which could be used as an alternative diagnostic tool for routine identification and differentiation of clinical isolates in the bacteriological laboratory. MALDI-TOF MS need more validation and verification and more study on the performance of direct colony and extraction methods to detect the most sensitive one and also need using more samples to detect sensitivity, reliability, and performance of this type of bacterial identification.
致病性临床细菌分离株的鉴定主要依赖于微生物的表型和基因型特征。这些传统方法成本高昂、耗时且需要特殊技能和培训。一种用于鉴定临床细菌分离株的替代方法——质谱(蛋白质组学)分析方法,已被公认为是一种快速、可靠且经济的鉴定方法。本研究旨在评估和比较传统细菌学、表型方法以及基质辅助激光解吸电离飞行时间质谱(MALDI-TOF MS)在鉴定从鸡身上分离出的临床细菌分离株方面的性能、灵敏度和可靠性。
从表现出临床症状如白色石灰样腹泻、泄殖腔黏糊、产蛋量下降的健康和患病鸡以及表现出死后病变如肝脏肿大伴充血和胆囊肿大的刚死亡鸡中,共采集了110份样本(泄殖腔、肝脏、脾脏和/或胆囊),这些鸡来自不同的家禽养殖场。
根据菌落特征和形态特征,分别仅在42份和35份样本中分离并检测到沙门氏菌和大肠杆菌分离株。使用API 20E鉴定系统进行生化鉴定显示,在通过菌落和形态鉴定出的42株沙门氏菌分离株中,有33株为疑似沙门氏菌分离株;在通过菌落和形态鉴定出的35株大肠杆菌分离株中,有26株为大肠杆菌分离株。分离株的血清学鉴定显示,最主要的沙门氏菌血清型为O1和O78,而最主要的大肠杆菌血清型为鸡白痢沙门氏菌。所有沙门氏菌和大肠杆菌分离株均使用MALDI-TOF MS进行检测。与传统鉴定结果一致,但MADI-TOF MS分别将从健康和患病鸡中分离出的2株沙门氏菌分离株鉴定为无效分数,回收率分别为93.9%;将从健康和死亡鸡中分离出的2株大肠杆菌分离株鉴定为无效分数,回收率分别为92.3%。
我们的研究表明,布鲁克MALDI-TOF MS微生物鉴定仪是鉴定革兰氏阴性菌尤其是沙门氏菌和大肠杆菌的可靠、快速且经济的工具,可作为细菌学实验室中临床分离株常规鉴定和区分的替代诊断工具。MALDI-TOF MS需要更多的验证和核实,以及对直接菌落法和提取法性能的更多研究,以检测出最灵敏的方法,还需要使用更多样本以检测这种细菌鉴定类型的灵敏度、可靠性和性能。