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MALDI-TOF MS applied to indirect carbapenemase detection: a validated procedure to clearly distinguish between carbapenemase-positive and carbapenemase-negative bacterial strains

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机构: [1]Beijing Tongren Hosp, Dept Lab Med, Beijing 100730, Peoples R China [2]Xian 1 Hosp, Dept Lab Med, Xian 029, Shanxi Province, Peoples R China
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关键词: MALDI Carbapenem Carbapenemases Resistance Classification

摘要:
Laboratory identification of carbapenemase-producing clinical isolates is crucial to limit the spread of the bacteria. In this study, we shall first develop the matrix-assisted laser desorption ionization-time-of-flight mass spectrometry (MALDI-TOF MS) assay in automatic identification of carbapenemase producers. A total of 143 well-characterized isolates were studied. After an incubation of bacteria with meropenem trihydrate, the mixture was centrifuged and the supernatant analyzed by MALDI-TOF MS. A genetic algorithm model with ClinProTools software was built using spectra of 43 carbapenemase-positive isolates and 40 carbapenemase-negative isolates after 2 h of incubation. This model was externally validated using 60 test isolates. All spectra of supernatants of the carbapenemase-negative isolates showed peak profiles comparable to that of pure meropenem (m/z 384.159, 406.140, and 428.122 of its two sodium salt variants) regardless of the incubation time tested. For the carbapenemase-positive isolates, the specific peak for meropenem at m/z 384.159 disappeared during the incubation time, two products of meropenem degradation were identified with m/z 358.18 (the decarboxylated product) and 380.161 (sodium salt of the decarboxylated product), and other degradation products were observed (native molecule with disrupted amide bond with m/z 402.169, three sodium salt variants with m/z 424.151, 446.133, and 468.115). Sixty test isolates were 100 % correctly classified as carbapenemase positive and carbapenemase negative with the genetic algorithm model. MALDI-TOF MS coupled with ClinProTools is capable of rapidly, accurately, and automatically identifying carbapenemase producers.

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出版当年[2012]版:
大类 | 3 区 化学
小类 | 2 区 分析化学 3 区 生化研究方法
最新[2023]版:
大类 | 2 区 化学
小类 | 3 区 生化研究方法 3 区 分析化学
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出版当年[2011]版:
Q1 BIOCHEMICAL RESEARCH METHODS Q1 CHEMISTRY, ANALYTICAL
最新[2023]版:
Q1 BIOCHEMICAL RESEARCH METHODS Q1 CHEMISTRY, ANALYTICAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2011版] 出版当年五年平均 出版前一年[2010版] 出版后一年[2012版]

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第一作者机构: [1]Beijing Tongren Hosp, Dept Lab Med, Beijing 100730, Peoples R China
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通讯机构: [1]Beijing Tongren Hosp, Dept Lab Med, Beijing 100730, Peoples R China [*1]Beijing Tongren Hosp, Dept Lab Med, 1 Dongjiaominxiang Rd, Beijing 100730, Peoples R China
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