Frontiers in Cellular and Infection Microbiology (Sep 2020)

Rapid Detection of High-Level Tigecycline Resistance in Tet(X)-Producing Escherichia coli and Acinetobacter spp. Based on MALDI-TOF MS

  • Ze-Hua Cui,
  • Ze-Hua Cui,
  • Zi-Jian Zheng,
  • Zi-Jian Zheng,
  • Tian Tang,
  • Tian Tang,
  • Zi-Xing Zhong,
  • Zi-Xing Zhong,
  • Chao-Yue Cui,
  • Chao-Yue Cui,
  • Xin-Lei Lian,
  • Xin-Lei Lian,
  • Liang-Xing Fang,
  • Liang-Xing Fang,
  • Qian He,
  • Qian He,
  • Xi-Ran Wang,
  • Xi-Ran Wang,
  • Chong Chen,
  • Chong Chen,
  • Bing He,
  • Bing He,
  • Min-Ge Wang,
  • Min-Ge Wang,
  • Ya-Hong Liu,
  • Ya-Hong Liu,
  • Ya-Hong Liu,
  • Xiao-Ping Liao,
  • Xiao-Ping Liao,
  • Xiao-Ping Liao,
  • Jian Sun,
  • Jian Sun,
  • Jian Sun

DOI
https://doi.org/10.3389/fcimb.2020.583341
Journal volume & issue
Vol. 10

Abstract

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The emergence and spread of the novel mobile Tet(X) tetracycline destructases confer high-level tigecycline and eravacycline resistance in Escherichia coli and Acinetobacter spp. and pose serious threats to human and animal health. Therefore, a rapid and robust Tet(X) detection assay was urgently needed to monitor the dissemination of tigecycline resistance. We developed a rapid and simple assay to detect Tet(X) producers in Gram-negative bacteria based on matrix-assisted laser desorption ionization–time of flight mass spectrometry (MALDI-TOF MS). This MALDITet(X) test was based on the inactivation of tigecycline by a Tet(X)-producing strain after a 3-h incubation of bacterial cultures with tigecycline. Culture supernatants were analyzed using MALDI-TOF MS to identify peaks corresponding to tigecycline (586 ± 0.2 m/z) and a tigecycline metabolite (602 ± 0.2 m/z). The results were calculated using the MS ratio [metabolite/(metabolite + tigecycline)]. The sensitivity of the MALDITet(X) test with all 216 test strains was 99.19%, and specificity was 100%. The test can be completed within 3 h. Overall, the MALDITet(X) test is an accurate, rapid, cost-effective method for the detection of Tet(X)-producing E. coli and Acinetobacter spp. by determining the unique peak of an oxygen-modified derivative of tigecycline.

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