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Systematic and Applied Microbiology: Identification of Gram-Positive Anaerobic Cocci by MALDI-TOF Mass Spectrometry
Systematic and Applied Microbiology: Identification of Gram-Positive Anaerobic Cocci by MALDI-TOF Mass Spectrometry
a r t i c l e i n f o a b s t r a c t
Article history: Gram-positive anaerobic cocci (GPAC) are part of the commensal microbiota of humans and are a phy-
Received 22 February 2010 logenetically heterogeneous group of organisms. To evaluate the suitability of matrix-assisted laser
desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) for the identification of GPAC,
Keywords: a database was constructed, using reference strains of commonly encountered GPAC and clinical isolates
Gram-positive anaerobic cocci of which the sequence of the 16S rRNA gene was determined. Subsequently, the database was validated
MALDI-TOF MS
by identifying 107 clinical isolates of GPAC. Results were compared with the identifications obtained by
Identification
16S sequencing or fluorescent in situ hybridization (FISH). Strains belonging to the same species grouped
together, in most cases, by MALDI-TOF MS analyses. Strains with sequence similarities less than 98% to
their closest relatives, formed clusters distinct from recognized species in the MALDI-TOF MS dendrogram
and, therefore could not be identified. These strains probably represent new species. Only three clinical
isolates (2 strains of Finegoldia magna and 1 strain of Anaerococcus vaginalis) could not be identified. For
all the other GPAC strains (96/107), reliable identifications were obtained. Therefore, we concluded that
MALDI-TOF MS is an excellent tool for the identification of phylogenetically heterogeneous groups of
micro-organisms such as GPAC.
© 2010 Elsevier GmbH. All rights reserved.
Introduction Murdoch et al. [12], described a number of species that were first
assigned to the genus Peptostreptococcus, but were later reclas-
Gram-positive anaerobic cocci (GPAC) are part of the com- sified as Peptoniphilus harei, Peptoniphilus ivorii and Anaerococcus
mensal human microbiota and are known to play an important octavius. Recently, Song et al. [17] described three new species;
role in human disease. They account for about one third of all Anaerococcus murdochii, Peptoniphilus gorbachii and Peptoniphilus
anaerobes recovered from human clinical specimens [13]. It is a olsenii. The addition of all these new species illustrates the hetero-
heterogeneous group of organisms and, therefore, the taxonomy geneity of GPAC.
has changed extensively. The species Peptostreptococcus micros and The phenotypic identifications of GPAC for certain species are
Peptostreptococcus magnus have been transferred to different gen- not always reliable [22], for example, P. asaccharolyticus cannot
era; Micromonas and Finegoldia, respectively [14], with Micromonas be phenotypically differentiated from P. harei [7] since they share
micros and Finegoldia magna the only species currently present the same biochemical features. In the past, P. harei has often
in each genus. The genus Micromonas was replaced by Parvi- been misidentified as P. asaccharolyticus [22], which resulted in an
monas, since the name Micromonas was ruled to be illegimate [21]. over-estimation of the clinical relevance of P. asaccharolyticus. To
Parvimonas micra is the only species present in this genus. The overcome these problems, molecular methods have been applied to
remaining peptostreptococci have been divided into three phylo- aid the reliable identification of GPAC. Song et al. [18] developed a
genetic groups [4], Peptoniphilus gen. nov., Anaerococcus gen. nov. multiplex PCR assay for the identification of GPAC, using genus-
and Gallicola gen. nov., with Gallicola barnesae the only species and species-specific primers. Wildeboer-Veloo et al. [22] devel-
present in the latter genus. The only species not reclassified in the oped species-specific 16S rRNA-based probes for the identification
genus Peptostreptococcus was P. anaerobius, although more recently of GPAC. Both methods yield reliable identifications. Recently,
P. stomatis, isolated from the human oral cavity, was added [3]. another technique is increasingly used for the identification of bac-
teria: matrix-assisted laser desorption/ionization-time-of-flight
mass spectrometry (MALDI-TOF MS). Several studies have been
performed in which MALDI-TOF MS has been used for the iden-
∗ Corresponding author at: Department of Medical Microbiology, UMCG, Univer-
tification of anaerobic bacteria [5,15,20]. In all these studies,
sity of Groningen, P.O. Box 30001, 9700 RB Groningen, The Netherlands.
MALDI-TOF MS was assessed to be superior to conventional phe-
Tel.: +31 50 3613480; fax: +31 50 3619105.
E-mail address: a.c.m.veloo@med.umcg.nl (A.C.M. Veloo). notypic identification, for example Prevotella intermedia can be
1
Current address: bioMérieux, La Balme Les Grottes, France. differentiated from Prevotella nigrescens [20], even though both
0723-2020/$ – see front matter © 2010 Elsevier GmbH. All rights reserved.
doi:10.1016/j.syapm.2010.11.005
A.C.M. Veloo et al. / Systematic and Applied Microbiology 34 (2011) 58–62 59
The database for identification of GPAC, using MALDI-TOF MS, For all strains, mass spectra of good quality were obtained,
was constructed using 12 reference strains and 77 sequenced using the rapid preparation method mentioned above, i.e., with
clinical isolates (Table 1). DNA of the strains was isolated as a resolution more than 600 and 70–150 automatically detected
described previously [2] and the 16S rRNA genes were amplified peaks. The number of peaks was sufficient to yield a taxon specific
and sequenced using universal 16S rRNA-specific primers [6]. The peak pattern, which could be used for species identification by
constructed database was validated by identifying 107 unknown computing species specific identifying spectra, so called ‘Super-
clinical isolates. Identification was confirmed by fluorescent in situ Spectra’, with SARAMIS (Anagnostec, Germany). A cluster analysis
hybridisation (FISH), using species-specific 16S rRNA-based probes performed on the mass spectra showed that isolates of the same
[22], directed against P. anaerobius/stomatis, P. micra, F. magna, P. species generally clustered together (Fig. 1). However, some
asaccharolyticus, P. ivorii, P. harei, A. vaginalis and A. lactolyticus. The isolates had less than 98% 16S rRNA gene sequence similarities
60 A.C.M. Veloo et al. / Systematic and Applied Microbiology 34 (2011) 58–62
Fig. 1. Dendrogram of all the strains used for database construction, complemented with strains from the validation which had a less than 98% sequence similarity with
their closest relative. For all strains, mass spectra fingerprints of duplicate analyses were used to compute the dendrogram, using a single linkage agglomerative clustering
algorithm. The numbered clusters contained exclusively the species indicated. For clarity, strain numbers are given only for strains that appear in Fig. 2, for type strains or
strains that are discussed in the text.
with their closest relatives or exhibited ambiguous phylogenetic DSM 10022 in the MALDI-TOF MS dendrogram (Fig. 1). Likewise,
positions in between two species (Table 1, Fig. 2), indicating that isolates that could not be assigned to a described species based
the taxonomy of GPAC is not completely settled. The isolates on 16S rRNA sequences were grouped separately from species-
most closely related to Peptoniphilus ivorii exhibited sequence specific clusters (gpac104, gpac047, and gpac121). In general,
similarities less than 95% with the type strain of the species, DSM all sequenced clinical isolates with sequence similarities more
10022. Consequently, these isolates were not grouped with P. ivorii than 98% grouped in a single cluster, together with corresponding
A.C.M. Veloo et al. / Systematic and Applied Microbiology 34 (2011) 58–62 61
reference strains (P. micra, A. vaginalis, F. magna, P. anaerobius). An Several studies have been performed in which MALDI-TOF MS
exception was found for the clinical isolates of P. harei, that were has been used to identify anaerobic bacteria; Bacteroides sp. [15],
grouped in a homogeneous cluster, at the base of which the type clostridia [5] and oral anaerobic bacteria from subgingival biofilm
strain (DSM 10020) is placed with a low spectral similarity of less [20]. In this study, we evaluated the possibility of MALDI-TOF MS
than 50% matching peaks. Also, one clinical isolate of F. magna to identify GPAC, a phylogenetically heterogeneous group of organ-
(gpac129) did not group with the F. magna type strain (Fig. 1). isms.
The best performance for species identifications was for species
Validation database that appear homogeneous by 16S rRNA sequence analyses as well
as by mass spectral patterns; P. micra, P. harei, A. murdochii, P. anaer-
A total of 107 unknown clinical isolates of GPAC was used to obius, P. gorbachii, A. parvulum, P. niger, A. lactolyticus, A. tetradius
test the performance of a mass spectral approach for the identifi- and P. lacrimalis. Particularly, P. micra and P. harei, the two species
cation of GPAC. The results are summarized in Table 2. According for which a larger number of strains could be studied, can be con-
to their genotypic identification, all clinical isolates of P. micra, P. sidered to be relatively homogeneous species. In contrast, in the
harei, A. murdochii, P. anaerobius, P. gorbachii, A. parvulum, P. niger, cases of all species for which representative isolates were not cor-
A. lactolyticus, A. tetradius and P. lacrimalis were correctly identified. rectly identified by MALDI-TOF MS, a higher intra-species variation,
Of the 32 F. magna strains, 3 strains could not be identified. One of in terms of mass spectral patterns, is obvious. However one uncer-
these strains was identified only by FISH, the other two had 16S tainty could arise from the fact, that, as in the case of P. harei, the
62 A.C.M. Veloo et al. / Systematic and Applied Microbiology 34 (2011) 58–62
type strain is considered to be not typical for the species. The type respective isolates would be encountered, an identification would
strain did not appear in the same cluster as the clinical isolates. not be possible and alternative methods, like 16S gene sequencing,
In general, clinical isolates with sequence similarities less than need to be applied.
98% with a corresponding reference strain did not appear in a
cluster with a reference strain. Only one strain of P. ivorii with References
a high similarity of 99.9% appeared in the same cluster as the
reference strain. Among seven strains that were not identified [1] Arnold, R.J., Reilly, J.P. (1999) Observation of Escherichia coli ribosomal proteins
and their posttranslational modifications by mass spectometry. Anal. Biochem.
as P. ivorii, two strains formed their own cluster (gpac007 and 269, 105–112.
gpac074), having a sequence similarity with each other of 99.3%. [2] Boom, R., Sol, C.J., Salimans, M.M., Jansen, C.L., Wertheim-van Dillen, P.M., van
Three other strains (gpac003, gpac103 and gpac216) also formed der Noordaa, J. (1990) Rapid and simple method for purification of nucleic acids.
J. Clin. Microbiol. 28, 495–503.
their own cluster, with sequence similarities between 96.3% and [3] Downes, J., Wade, W.G. (2006) Peptostreptococcus stomatis sp. nov., isolated
98.5%. Two strains (gpac018A and gpac228) were singular. Similar from the human oral cavity. Int. J. Syst. Evol. Microbiol. 56, 751–754.
relationships between the strains were established from mass spec- [4] Ezaki, T., Kawamura, Y., Li, N., Li, Z.Y., Zhao, L., Shu, S. (2001) Proposal of the
genera Anaerococcus gen. nov., Peptoniphilus gen. nov. and Gallicola gen. nov.
tral patterns: a first cluster consisted of strains gpac003, gpac103,
for members of the genus Peptostreptococcus. Int. J. Syst. Evol. Microbiol. 51,
and gpac216, a second of strains gpac074 and gpac007 clustering 1521–1528.
together, and two strains (gpac018A and gpac228) being singular [5] Grosse-Herrenthey, A., Maier, T., Gessler, F., Schaumann, R., Böhnel, H.,
(Figs. 1 and 2). Low 16S rRNA gene sequence and MALDI-TOF MS Kostrzewa, M., Krüger, M. (2008) Challenging the problem of clostridial iden-
tification with matrix-assisted laser desorption and ionization-time-of-flight
similarities, compared to those of the type strain of P. ivorii suggest mass spectrometry (MALDI-TOF MS). Anaerobe 14, 242–249.
that the strains likely represent one or more separate species. [6] Hiraishi, A. (1992) Direct automated sequencing of 16S rDNA amplified by poly-
The similar topology of trees computed based on 16S riboso- merase chain reaction from bacterial cultures without DNA purification. Lett.
Appl. Microbiol. 15, 210–213.
mal RNA sequences and MALDI-TOF MS patterns, can be explained [7] Jousimies-Somer, H.R., Summanen, P., Citron, D.M., Baron, E.J., Wexler, H.M.,
by the fact that, among other proteins, many of the peaks in the Finegold, S.M. 2002 Anaerobic Bacteriology Manual, 6th edn., Star Publishing
spectra are due to ribosomal proteins [1]. Stackebrandt et al. [19] Company, Belmont, CA.
[8] Kallow, W., Erhard, M., Shah, H.N., Raptakis, E., Welker, M. (2010) MALDI-TOF
showed that spectral profiles, consisting of about 25 to 45 mass MS and microbial identification: years of experimental development to an
signals ranging between 2 and 20 kDa, do indeed have taxonomic established protocol. S. In: Shah, H.N., Gharbia, S.E., Encheva, V. (Eds.), Mass
significance. Since bacterial genera evolve at different speeds, it is spectrometry for microbial proteomics, Wiley, Chichester, pp. 255–276.
[9] Keys, C.J., Dare, D.J., Sutton, H., Wells, G., Lunt, M., McKenna, T., McDowall, M.,
difficult to set a general cutoff value for the 16S rRNA gene sequence Shah, H.N. (2004) Compilation of a MALDI-TOF mass spectral database for the
similarity that will be applicable for all new species. Therefore, the rapid screening and characterisation of bacteria implicated in human infectious
cutoff value may differ for the species of different genera. Since the diseases. Infect. Genet. Evol. 4, 221–242.
[10] Ludwig, W., Strunk, O., Klugbauer, S., Klugbauer, N., Weizenegger, M., Neu-
intra-species variation for the GPAC is large, we have chosen to use
maier, J., Bachleitner, M., Schleifer, K.H. (1998) Bacterial phylogeny based on
a sequence similarity of more than 98% as one species and less than comparative sequence analysis. Electrophoresis 19, 554–568.
98% sequence similarity as new species. [11] Maidak, B.L., Cole, J.R., Parker, C.T., Jr., Garrity, G.M., Larsen, N., Li, B., Lilburn, T.G.,
A similar difficulty to establish a clear cutoff value separating McCaughey, M.J., Olsen, G.J., Overbeek, R., Pramanik, S., Schmidt, T.M., Tiedje,
J.M., Woese, C.R. (1999) A new version of the RDP (Ribosomal Database Project).
individual species is evident for mass spectral analyse. From the Nucleic Acids Res. 27, 171–173.
dendrogram (Fig. 1), it is evident that intra-specific variation could [12] Murdoch, D.A., Collins, M.D., Willems, A., Hardie, J.M., Young, K.A., Magee, J.T.
result in spectral similarities as low as 50%. Therefore, this value (1997) Description of three new species of the genus Peptostreptococcus from
human clinical specimens: Peptostreptococcus harei sp. nov., Peptostreptococcus
could be set as cutoff for the separation of species. If this was done ivorii sp. nov. and Peptostreptococcus octavius sp. nov. Int. J. Syst. Bacteriol. 47,
and strains that have a spectral similarity below 50% to any estab- 781–787.
lished species would consequently be considered to belong to other, [13] Murdoch, D.A., Mitchelmore, I.J., Tabaqchali, S. (1994) The clinical importance
of gram positive anaerobic cocci isolated at St. Bartholomew’s hospital, London,
possibly new species. A number of isolates of the present study fall in 1987. J. Med. Microbiol. 41, 36–43.
into this category. [14] Murdoch, D.A., Shah, H.N. (1999) Reclassification of Peptostreptococcus mag-
Possible new species or sub-species that were recognized based nus (Prevot 1933) Holdeman and Moore 1972 as Finegoldia magna comb. nov.
and Peptostreptococcus micros (Prevot 1933) Smith 1957 as Micromonas micros
on 16S rRNA sequences (Fig. 2) were also confirmed in the MALDI- comb. nov. Anaerobe 5, 555–559.
TOF MS dendrogram (Fig. 1). Besides the strains related to P. ivorii [15] Nagy, E., Urban, E., Terhes, G., Kostrzewa, M. (2009) Species identification of
(mentioned above), two clinical isolates of P. gorbachii (gpac055 and clinical isolates of Bacteroides by matrix-assisted laser-desorption/ionization
time-of-flight mass spectrometry. Clin. Microbiol. Infect. 15, 796–802.
gpac018B) had sequence similarities less than 98% with the refer-
[16] Seng, P., Drancourt, M., Gouriet, F., La Scola, B., Fournier, P.-E., Rolain, J.M.,
ence strain of P. gorbachii. These two strains are in the same cluster Raoult, D. (2009) Ongoing revolution in bacteriology: routine identification
in the MALDI-TOF MS dendrogram and neighboring the cluster con- of bacteria by matrix-assisted laser desorption ionization time-of-flight mass
taining the reference strain (Fig. 1). The same clustering can be seen spectometry. Clin. Infect. Dis. 49, 543–551.
[17] Song, Y., Liu, C., Finegold, S.M. (2007) Peptoniphilus gorbachii sp. nov., Pep-
in the phylogenetic tree (Fig. 2). These strains might represent new toniphilus olsenii sp. nov., and Anaerococcus murdochii sp. nov. isolated from
(sub)species. clinical specimens of human origin. J. Clin. Microbiol. 45, 1746–1752.
In summary, using the constructed MALDI-TOF MS database, [18] Song, Y., Liu, C., McTeague, M., Vu, A., Liu, J.Y., Finegold, S.M. (2003) Rapid iden-
tification of gram-positive anaerobic coccal species originally classified in the
11 of the 107 strains could not be identified, most of them genus Peptostreptococcus by multiplex PCR assays using genus- and species-
differing also in the respective 16S rRNA sequences from the specific primers. Microbiology 149, 1719–1727.
closest reference strain to a degree suggesting that they actually [19] Stackebrandt, E., Päuker, O., Erhard, M. (2005) Grouping myxococci (Corallo-
coccus) strains by matrix-assisted laser desorption time-of-flight (MALDI TOF)
belong to other species. Once a database has been established that mass spectrometry: comparison with gene sequence phylogenies. Curr. Micro-
comprehensively covers the intra-species variation, mass spectral biol. 50, 71–77.
identification should be accurate and reproducible. Therefore, we [20] Stîngu, C.S., Rodloff, A.C., Jentsch, H., Schaumann, R., Eschrich, K. (2008) Rapid
identification of oral anaerobic bacteria cultivated from subgingival biofilm by
can conclude that MALDI-TOF MS will be an excellent tool for the MALDI-TOF-MS. Oral. Microbiol. Immunol. 23, 372–376.
identification of GPAC in clinical routine diagnostics. [21] Tindall, B.J., Euzéby, J.P. (2006) Proposal of Parvimonos gen. nov. and Quatri-
The performance of the respective commercial systems, like onicoccus gen. nov. as replacements for the illegitimate, prokaryotic, generic
names Micromonas Murdoch and Shah 2000 and Quadricoccus Maszenan et al.
SARAMIS or Biotyper, however, depends largely on a consistent and
2002, respectively. Int. J. Syst. Evol. Microbiol. 56, 2711–2713.
exhaustive taxonomy based on phylogenetic relationships, at least, [22] Wildeboer-Veloo, A.C.M., Harmsen, H.J.M., Welling, G.W., Degener, J.E. (2007)
for the particular field of application, like clinical microbiology. Development of 16S rRNA-based probes for the identification of Gram-positive
The present study produced evidence that among clinically rele- anaerobic cocci isolated from human clinical specimens. Clin. Microbiol. Infect.
3, 985–992.
vant GPAC a number of new species should be considered. When