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Program / Abstract Book - KMU WWW3 Server for Education ...

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No. 61 (PM 10)<br />

Application of MALDI-TOF MS-based strain typing <strong>for</strong> characterization of<br />

epidemiological relationships among bacterial strains<br />

Megumi Oho 1) , Zenzo Nagasawa 1) , Koji Kusaba 1) , Takanori Higashitani 1) , Shoitiro Ohta 1) ,<br />

Eisaburo Sueoka 1) , Hiroshi Miyamoto 2)<br />

Department of Laboratory Medicine, Saga University Hospital 1) ,<br />

Division of Microbiology, Department of Pathology and Microbiology,<br />

Faculty of Medicine, Saga University 2) , Japan<br />

【Purpose】MALDI-TOF MS-based strain typing <strong>for</strong> microorganisms is a fast and inexpensive<br />

technology <strong>for</strong> identification of bacteria. We introduced MALDI Biotyper Ⓡ (Bruker Daltonics Inc,) as a<br />

clinical diagnostic system <strong>for</strong> microbial infection since April this year. The system needs only 10<br />

minutes from isolation of the target colonies and considerably accurate compared with genomic analysis<br />

using 16S rRNA. We applied this system to characterize the epidemiological relationships among<br />

bacterial strains.<br />

【Samples and Methods】24 of MRSA and 48 of Pseudomonas aeruginosa strains, those genomic<br />

pattern determined by pulsed-field gel electrophoresis (PFGE), were analyzed by MALDI Biotyper, and<br />

the characteristic amino acid profiles were assessed by ClinProTools. For extraction of the proteins from<br />

bacteria, an ethanol-<strong>for</strong>mic acid extraction method was used, and the assays were conducted by<br />

duplicate to obtain confirmative spectra. The spectra were analyzed by using ClinProTools (Bruker<br />

Daltonics Inc.). ClinProTools is designed to facilitate the processing and comparison of multiple spectra<br />

from each bacterium by automatically normalizing, baseline subtracting, peak defining, and<br />

recalibrating.<br />

【Results】We compared the results obtained from MALDI-TOF MS combined with ClinProTools and<br />

those from PFGE. The epidemiological relationships examined by MALDI-TOF MS and PFGE among<br />

MRSA and Pseudomonas aeruginosa strains were almost identical. The results were validated with<br />

other molecular epidemiological examinations.<br />

【Conclusion】The epidemiological relationships examined by MALDI-TOF MS showed comparable<br />

data with PFGE. Since MALDI-TOF MS-based strain typing <strong>for</strong> microorganisms is a fast and<br />

inexpensive technology <strong>for</strong> identification of bacteria, the technique combined with ClinProTools is<br />

thought to be a useful tool <strong>for</strong> molecular epidemiological relationships among bacterial strains.<br />

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