MALDI-TOF MS microbe taxonomy taxis = arrangement nimina = distribution. Cowan 3 classification. nomenclature.

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Kiyofumi OHKUSU 45 35 10 microbe 1879 19 20 1876 1880 1882 1883 1884 1894 1905 2002 MALDI-TOF MS 500 2011 taxonomy taxis = arrangement nimina = distribution Cowan 3 classification nomenclature identification 0501-1194 1-1 Department of Microbiology, Gifu University Graduate School of Medicine (1-1 Yanagido, Gifu)

8,000 100 International Code of Nomenclature of Bacteria ; ICNB strain species subspecies serovar phagovar pathovar biovar binomial nomenclature genus 2 specific epithet 1 DNA DNA DNA 70 5 1 DNADNA 20 1970 DNA GC 1980 16S rdna 16S rdna 1,500 bp 98.7 2 16S rrna 5

Mass Spectrometry Mass Spectrometry MS 3 MALDI-TOF MSMatrix Assisted Laser DesorptionIonization -Time of Flight Mass Spectrometer MALDI-TOF MS MALDI-TOF MS Matrix Assisted Laser DesorptionIonization Time of Flight Mass Spectrometer ; TOF MS 3 MALDI 337nm α-cyano-4- hydroxy cinnamic acidchca sinapinic acid - COOH H MALDI EI CI FAB ESI MALDI TOF

MALDI Laser DesorptionIonization 1985 3 2002 1 1 K= mv 2 2 mv MALDI-TOF MS MS 1 2 1 MALDI Biotyper mz

MALDI-TOF MS BD 3 1 AXIMA VITEK MS MALDI BiotyperVITEK MS MALDI-TOF MS MALDI-TOF MS 3 10 5 1 MALDI-TOF MS 2,000 20,000 Da 50 70 6 2 5 MALDI-TOF MS

MALDI BiotyperVITEK MS 1, 2 MALDI Biotyper Main SpectraMSP 2.0 1.7 2.0 VITEK MS SuperSpectra TM

MALDI Biotyper 15 4 3 MALDI-TOF MS 10 MALDI-TOF MS 2 10 1 20 50

MALDI Biotyper MALDI Biotyper 2,800 VITEK MS 2,980 MALDI-TOF MS Escherichia coli Shigella flexnerimycobacterium tuberculosis M. bovis Bacillus cereus B. anthracis Yersinia pestis Y. pseudotuberculosis DNADNA 70 5 7 70 95 80 98 Staphylococcus 90 Streptococcuss S. pneumoniae S. mitis grroup MALDI-TOF MS 16S rdna MALDI-TOF MS MALDI-TOF MS 1 2012 1 MALDI Biotyper 2011 100 Mycobacterium

Candida Cryptococcus 8, 9 MALDI-TOF MS 10 12 70 80 Bruker MALDI Sepsityper MALDI-TOF MS MALDI Sepsityper TM 5 1 800 10 5 13, 14 MALDI-TOF MS 15 2 51 16, 17-18, 19 MALDI-TOF MS 20 Family Genes Species Strain DNA-DNA 16S rrna GC mol PFGE Multilocus sequence typingmlst MALDI-TOF MS

1 Wayne LG et al.: Report of the ad hoc committee on reconciliation of approaches to bacterial systematics. Int J Syst Bacteriol. : 463-464, 1987. 2 Stackebrandt E, Ebers, J : Taxonomic parameters revisited : tarnished gold standards. Microbiology Today. : 148-155, 2006. 3 Tanaka K, Ido Y, Akita S, et al.: Detection of High Mass Molecules by Laser Desorption Time-of-Flight Mass Spectrometry. SECOND JAPAN-CHINA JOINT SYMPO- SIUM ON MASS SPECTROMETRY ABSTRACT, 1987. 4. Medical Technology. : 491-496, 2011. 5 Senq P, Drancourt M, Gouriet F, et al.: Ongoing revolution in bacteriology : routine identification of bacteria by matrix-assisted laser desorption ionization time-of-flight mass spectrometry. Clin Infect Dis. : 543-551, 2009. 6 Bizzini A, Durussel C, Bille J, et al.: Performance of Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry for Identification of Bacterial Strains Routinely Isolated in a Clinical Microbiology Laboratory. J Clin Microbiol. : 1549-1554, 2010. 7 Sffert R, Cunningham S, Ihde S, et al.: Comparison of Bruker Biotyper Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometer to BD Phoenix Automated Microbiology System for Identification of Gram-Negative Bacilli. J Clin Microbiol. : 887-892, 2011. 8 Marklein G, Josten M, Klanke U, et al.: Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry for Fast and Reliable Identification of Clinical Yeast Isolates. J Clin Microbiol. : 2912-2917, 2011. 9 Dhiman N, Hall L, Wohlfiel S, et al.: Performance and Cost Analysis of Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry for Routine Identification of Yeast. J Clin Microbiol. : 1614-1616, 2011. 10Scola L, Raoult D : Direct identification of bacteria in positive blood culture bottles by matrix-assisted laser desorption ionisation time-of-flight mass spectrometry. PLoS One. : e8041, 2009. 11Kok J, Thomas L, Olma T, et al.: Identification of bacteria in blood culture broths using matrix-assisted laser desorption-ionization Sepsityper TM and time of flight mass spectrometry. PLoS One. : e23285, 2011. 12Schmidt V, Jarosch A, Marz P, et al.: Positive blood culture by matrix-assisted laser desorption ionization time-offlight mass spectrometry. Eur J Clin Microbiol Infect Dis. 2011 [Epub ahead of print]. 13Ferreira L, Sanchez-Juanes F, Gonzalez-Avila M, et al.: Direct Identification of Urinary Tract Pathogens from Urine Samples by Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry. J Clin Microbiol. : 2110-2115, 2010. 14Hyvang Hartmeyer G, Kvistholm Jensen A, Bocher S, et al.: Mass spectrometry : pneumococcal meningitis verified and Brucella species identified in less than half an hour. Scand Infect Dis. : 716-718, 2010. Proteomics. : 2877-2892, 2004. 15Warscheid B, Fenselau C : A targeted proteomics approach to the rapid identification of bacterial cell mixtures by matrix-assisted laser desorptionionization mass spectrometry. Proteomics. : 2877-2892, 2004. 16Bittar F, Ouchenane Z, Smati F, et al.: MALDI-TOF-MS for rapid detection of staphylococcal Panton-Valentine leukocidin. Int J Antimicro Agents. : 467-470, 2009. 17La Scola B, Campocasso A, et al.: Tentative characterization of new environmental giant viruses by MALDI-TOF mass spectrometry. Intervirology. : 344-353, 2010. 18Burckhardt I, Zimmermann : Using Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry To Detect Carbapenem Resistance within 1 to 2.5 Hours. J Clin Microbiol. : 3321-3324, 2011. 19Sparbier K, Schubert S, Weller U, et al.: Rapid detection of resistance against -lactam antibiotics. J Clin Microbiol. 2011 [Epub ahead of print]. 20Welker M, Moore E.: Applications of whole-cell matrixassisted laser-desorptionionization time-of-flight mass spectrometry in systematic microbiology. Syst Appl Microbiol. : 2-11, 2011.