| Literature DB >> 35389240 |
Mari Tohya1,2, Kanae Teramoto3, Shin Watanabe2, Tomomi Hishinuma1, Masahito Shimojima4,5, Miho Ogawa5, Tatsuya Tada1, Yoko Tabe6, Teruo Kirikae1.
Abstract
The genus Pseudomonas, a complex Gram-negative genus, includes species isolated from various environments, plants, animals, and humans. We compared whole-genome sequencing (WGS) with clinical bacteriological methods and evaluated matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) to identify Pseudomonas species. Clinical isolates (N = 42) identified as P. putida or P. fluorescens by a bacterial identification system based on biochemical properties were reexamined by another identification system based on biochemical properties, two systems based on MALDI-TOF MS, and WGS. WGS revealed that 30 of the 42 isolates belonged to one of 14 known Pseudomonas species, respectively. The remaining 12 belonged to one of 9 proposed novel Pseudomonas species, respectively. MALDI-TOF MS analysis showed that the 9 novel species had unique major peaks. These results suggest that WGS is the optimal method to identify Pseudomonas species and that MALDI-TOF MS may complement WGS in identification. Based on their morphologic, physiologic, and biochemical properties, we propose nine novel Pseudomonas species. IMPORTANCE Most of the clinical isolates, identified as P. putida or P. fluorescens, were misidentified in clinical laboratories. Whole-genome sequencing (WGS) revealed that these isolates belonged to different Pseudomonas species, including novel species. WGS is a gold-standard method to identify Pseudomonas species, and MALDI-TOF MS analysis has the potential to complement WGS to reliably identify them.Entities:
Keywords: MALDI-TOF MS; Pseudomonas; human pathogen; re-identification; whole-genome sequencing
Mesh:
Year: 2022 PMID: 35389240 PMCID: PMC9045174 DOI: 10.1128/spectrum.02491-21
Source DB: PubMed Journal: Microbiol Spectr ISSN: 2165-0497
Identification results with commercial identification platforms and ANI/dDDH analysis
| Isolate | Commercial identification platforms | ANI and dDDH analysis | |||
|---|---|---|---|---|---|
| Microscan WalkAway | Vitek 2 | MALDI Biotyper | Vitek MS | ||
| BML-PP010 |
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| BML-PP011 |
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| BML-PP012 |
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| BML-PP013 |
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| Unidentified organism |
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| BML-PP014T |
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| BML-PP015T |
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| BML-PP016 |
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| BML-PP017 |
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| BML-PP018 |
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| BML-PP019 |
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| BML-PP020T |
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| BML-PP021 |
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| BML-PP022 |
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| BML-PP023T |
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| BML-PP024 |
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| BML-PP025 |
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| BML-PP026 |
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| BML-PP027 | Unidentified organism | Unidentified organism |
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| BML-PP028T |
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| BML-PP029 |
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| Unidentified organism |
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| BML-PP030T |
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| BML-PP031 |
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| BML-PP033 |
| Unidentified organism |
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| BML-PP034 |
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| BML-PP035 | Unidentified organism |
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| BML-PP036T |
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| BML-PP037 |
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| BML-PP038 |
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| BML-PP039 |
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| BML-PP040 |
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| BML-PP041 |
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| BML-PP042T |
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| BML-PP043 |
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| BML-PP044 |
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| BML-PP045 |
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| BML-PP046 |
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| BML-PP047 |
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| BML-PP048T |
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| BML-PP049 |
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| BML-PP050 |
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| BML-PP051 |
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| BML-PP052 |
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Bacteria identification results by ANI/dDDH analysis and automated systems. Agreements with ANI/dDDH analysis are shown in gray.
FIG 1Whole-genome sequence tree for the 12 strains of 9 novel species and the related type strains of Pseudomonas species. A neighbor-joining phylogenetic tree was constructed using pan-genome 18,432,899 single-nucleotide polymorphisms from genomes of the 12 isolates, which were classified into 9 novel species, and the other 81 type strains belonging to the P. aeruginosa, P. fluorescens, and P. putida groups. Scale bar indicates number of nucleotide substitutions. Accession numbers for each sequence are listed in Tables S1 and S2.
FIG 2Comparative MALDI-TOF MS profiles of types trains of novel species and related Pseudomonas species. (A) MALDI-TOF MS profiles (7,000 to 8,200 m/z) of P. nitroreducens NBRC 12694T, P. pseudonitroreducens sp. nov. BML-PP015T, P. pseudonitroreducens sp. nov. BML-PP034, and P. pseudonitroreducens sp. nov. BML-PP043. P. nitroreducens NBRC 12694T had five major peaks at 7,201, 7,488, 7,576, 7,981, and 8,011 m/z; whereas P. pseudonitroreducens sp. nov. BML-PP015T had six major peaks, three of which, at 7,562, 7,691 and 8,042 m/z, differed from those of P. nitroreducens. Three strains of P. pseudonitroreducens sp. nov. had the same peaks at 7,203, 7,480, 7,691, 7,981 and 8,042 m/z. (B) MALDI-TOF MS profiles (9,000 to 10,500 m/z) of P. plecoglossicida NBRC 103162T, P. ceruminis sp. nov. BML-PP028T, P. urethralis sp. nov. BML-PP042T, P. faucium sp. nov. BML-PP048T, and P. faucium sp. nov. BML-PP049. Compared with P. plecoglossicida NBRC 103162T, three novel species had unique peaks: at 9,235 and 10,255 m/z for P. ceruminis sp. nov. (BML-PP028T); 9,251, 9,618, and 9,901 m/z for P. urethralis sp. nov. (BML-PP042T), and 9,115, 9,574, and 9,859 m/z for P. faucium (BML-PP048T). The major peaks of one strain of P. faucium sp. nov. (BML-PP049) and its type strain, BML-PP048T, were almost identical to each other.
Colistin susceptibility of the 42 clinical isolates and two type strains
| Isolate | Species | MIC (μg/mL) |
|---|---|---|
| Colistin-highly-resistant isolates | ||
| BML-PP019 |
| 4,096 |
| BML-PP025 |
| 1,024 |
|
| 512 | |
| Colistin-resistant isolates | ||
| BML-PP010 |
| 64 |
| BML-PP012 |
| 32 |
| BML-PP016 |
| 32 |
| BML-PP035 |
| 32 |
| BML-PP038 |
| 32 |
|
| 64 | |
| BML-PP040 |
| 8 |
| Colistin-susceptible isolates | ||
| BML-PP011 |
| 0.5 |
| BML-PP013 |
| 0.5 |
| BML-PP014T | 0.5 | |
| BML-PP015T | 0.25 | |
| BML-PP017 |
| 0.5 |
| BML-PP018 |
| 0.5 |
| BML-PP020 | 1 | |
| BML-PP021 |
| 0.5 |
| BML-PP022 |
| 0.5 |
| BML-PP023T | 0.5 | |
| BML-PP024 |
| 0.5 |
| BML-PP026 |
| 0.5 |
| BML-PP027 |
| 0.25 |
| BML-PP028T | 0.5 | |
| BML-PP029 |
| 0.5 |
| BML-PP030T | 0.5 | |
| BML-PP031 |
| 1 |
| BML-PP033 |
| 1 |
| BML-PP034 | 1 | |
| BML-PP036T | 0.5 | |
| BML-PP037 |
| 0.5 |
| BML-PP039 |
| 0.5 |
| BML-PP041 |
| 1 |
| BML-PP042T | 1 | |
| BML-PP043 | 0.5 | |
| BML-PP044 |
| 1 |
| BML-PP045 |
| 0.25 |
| BML-PP046 |
| 0.25 |
| BML-PP047 |
| 0.5 |
| BML-PP048T | 0.5 | |
| BML-PP049 | 0.5 | |
| BML-PP050 |
| 0.25 |
| BML-PP051 |
| 0.5 |
| BML-PP052 |
| 1 |
Information about the 42 clinical isolates analyzed in this study
| Isolate | Specimen source | Prefecture | Location in |
|---|---|---|---|
| BML-PP010 | Sputum | Shizuoka | A |
| BML-PP011 | Sputum | Aomori | B |
| BML-PP012 | Sputum | Shimane | C |
| BML-PP013 | Sputum | Tokyo | D |
| BML-PP014T | Sputum | Kanagawa | E |
| BML-PP015T | Sputum | Osaka | F |
| BML-PP016 | Throat swab | Tokushima | G |
| BML-PP017 | Eye discharge | Tokyo | D |
| BML-PP018 | Urine | Ehime | H |
| BML-PP019 | Catheter urine | Miyagi | I |
| BML-PP020T | Vaginal discharge | Saitama | J |
| BML-PP021 | Sputum | Hokkaido | K |
| BML-PP022 | Sputum | Kanagawa | E |
| BML-PP023T | Sputum | Kanagawa | E |
| BML-PP024 | Sputum | Tokyo | D |
| BML-PP025 | Sputum | Kagoshima | L |
| BML-PP026 | Sputum | Saitama | J |
| BML-PP027 | Sputum | Kanagawa | E |
| BML-PP028T | Ear discharge | Kanagawa | E |
| BML-PP029 | Sputum | Chiba | M |
| BML-PP030T | Throat swab | Kumamoto | N |
| BML-PP031 | Sputum | Shizuoka | A |
| BML-PP033 | Ear discharge | Ibaraki | O |
| BML-PP034 | Throat swab | Hiroshima | P |
| BML-PP035 | Nasopharynx swab | Saitama | J |
| BML-PP036T | Throat swab | Saitama | J |
| BML-PP037 | Sputum | Kagoshima | L |
| BML-PP038 | Sputum | Kagoshima | L |
| BML-PP039 | Sputum | Kagawa | Q |
| BML-PP040 | Sputum | Yamaguchi | R |
| BML-PP041 | Sputum | Fukui | S |
| BML-PP042T | Urethral discharge | Chiba | M |
| BML-PP043 | Throat swab | Saitama | J |
| BML-PP044 | Sputum | Tokushima | G |
| BML-PP045 | Endotracheal sputum | Osaka | F |
| BML-PP046 | Endotracheal sputum | Kanagawa | E |
| BML-PP047 | Urine | Kanagawa | E |
| BML-PP048T | Throat swab | Saitama | J |
| BML-PP049 | Nasal swab | Nagasaki | T |
| BML-PP050 | Sputum | Ehime | H |
| BML-PP051 | Throat swab | Saitama | J |
| BML-PP052 | Pus | Kagoshima | L |
FIG 3Geographic distribution of the 42 clinical isolates in Japan. The 42 isolates named in Table 3 came from the 20 prefectures shown in the map.