Department of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea.
R&D Center, NOSQUEST Inc., Yongin, Korea.
Yonsei Med J. 2022 Dec;63(12):1138-1143. doi: 10.3349/ymj.2022.0271.
species can cause infections, and associations with cancer are being increasingly reported. As their clinical significance differs, accurate identification of individual species is important. However, matrix-assisted laser desorption/ionization-time of flight mass spectrometry has not been found to be effective in identifying species in previous studies. In this study, we aimed to improve the accuracy and efficacy of identifying species in clinical laboratories.
In total, 229 isolates were included in this study. All isolates were identified at the species level based on nucleotide sequences of the 16S ribosomal RNA gene and/or DNA-dependent RNA polymerase β-subunit gene (). Where necessary, isolates were identified based on whole genome sequences. Among them, 47 isolates were used for updating the ASTA database, and 182 isolates were used for the validation of spp. identification.
isolates used for validation (182/182) were correctly identified at the genus level, and most (180/182) were correctly identified at the species level using the ASTA MicroIDSys system. Most of the isolates (74/75) were correctly identified at the subspecies level.
The updated ASTA MicroIDSys system can identify nine species of and four subspecies of in good agreement. This tool can be routinely used in clinical microbiology laboratories to identify species and serve as a springboard for future research.
种可以引起感染,并且与癌症的关联也越来越多。由于它们的临床意义不同,准确识别个体种非常重要。然而,先前的研究发现基质辅助激光解吸/电离飞行时间质谱在识别种方面效果不佳。在这项研究中,我们旨在提高临床实验室中识别种的准确性和效果。
本研究共纳入 229 株分离株。所有分离株均根据 16S 核糖体 RNA 基因和/或 DNA 依赖性 RNA 聚合酶β亚基基因()的核苷酸序列进行种水平鉴定。必要时,根据全基因组序列进行鉴定。其中,47 株分离株用于更新 ASTAMicroIDSys 数据库,182 株分离株用于验证 spp. 的鉴定。
用于验证的分离株(182/182)在属水平上得到正确鉴定,并且使用 ASTAMicroIDSys 系统,大多数(180/182)在种水平上得到正确鉴定。大多数种(74/75)在亚种水平上得到正确鉴定。
更新的 ASTAMicroIDSys 系统可以很好地识别九种和四种种的亚种。该工具可常规用于临床微生物学实验室识别种,并为未来的研究提供基础。