Insufficient Discriminatory Power of Matrix-Assisted Laser Desorption Ionization Time-of-Flight Mass Spectrometry Dendrograms to Determine the Clonality of Multi-Drug-Resistant Acinetobacter baumannii Isolates from an Intensive Care Unit

• Published in: BioMed research international Vol. 2015; no. 2015; pp. 1 - 8
• Main Authors: Lee, Kyungwon, Yong, Dongeun, D’Souza, Roshan, Kim, MyungSook, Park, Yongjung, Hong, Sung Kuk, Lee, Yangsoon, Rim, John Hoon, Park, Eun Suk
• Format: Journal Article
• Language: English
• Published: Cairo, Egypt Hindawi Publishing Corporation 01.01.2015; Hindawi Limited
• Subjects: Acinetobacter baumannii - genetics; Acinetobacter baumannii - isolation & purification; Acinetobacter baumannii - pathogenicity; Colonies; Desorption; Drug resistance; Drug Resistance, Multiple - genetics; Electrophoresis, Gel, Pulsed-Field; Extraction; Humans; Intensive Care Units; Ionization; Laboratories; Lasers; Mass spectrometry; Proteins; Similarity; Species Specificity; Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization; Studies
• ISSN: 2314-6133; 2314-6141
• DOI: 10.1155/2015/535027

While pulsed-field gel electrophoresis (PFGE) is recognized as the gold standard method for clonality analysis, MALDI-TOF MS has recently been spotlighted as an alternative tool for species identification. Herein, we compared the dendrograms of multi-drug-resistant (MDR) Acinetobacter baumannii isolates by using MALDI-TOF MS with those by using PFGE. We used direct colony and protein extraction methods for MALDI-TOF MS dendrograms. The isolates with identical PFGE patterns were grouped into different branches in MALDI-TOF MS dendrograms. Among the isolates that were classified as very close isolates in MALDI-TOF MS dendrogram, PFGE band patterns visually showed complete differences. We numeralized similarity among isolates by measuring distance levels. The Spearman rank correlation coefficient values were 0.449 and 0.297 between MALDI-TOF MS dendrogram using direct colony and protein extraction method versus PFGE, respectively. This study is the first paper focusing solely on the dendrogram function of MALDI-TOF MS compared with PFGE. Although MALDI-TOF MS is a promising tool to identify species in a rapid manner, our results showed that MALDI-TOF MS dendrograms could not substitute PFGE for MDR Acinetobacter baumannii clonality analysis.