Microorganism Identification and Tracking for Biorepositories Workshop on Biodiversity and Climate Change Astana, Republic of Kazakhstan April, 2015 Karen Frank, M.D, Ph.D., D(ABMM) Chief of Microbiology Service Department of Laboratory Medicine Clinical Center NIH Accurate Tracking of Stored Organisms and Relevant Isolate Information is Essential http://best-pcdesktop.blogspot.com Traditional Bacterial Culture Methods Klebsiella http://www.microbelibrary.org Phenotypic Identification with Biochemical Testing Tube Based or Automated Cartridges http://www.biomerieux-usa.com Traditional Culture and Microscopic Identification of Molds http://www.microbelibrary.org http://www.microbiologyonline.org.uk PCR for 16S rDNA or Fungal ITS (Internal Transcribed Spacer) Region or Specific Genes Can Be Useful PCR Technology more Accessible than Advanced Sequencing http://www.scientificdealers.com Mass Spectrometry Instruments for Microbial Identification MALDI BioTyper (Bruker Daltonics) VITEK MS (BioMerieux) http://www.biomerieux-usa.com http://www.bdal.de/products/software/maldi-biotyper/overview.html Seng et al. (2010) Future Microbiol. 5:1733-1754 MALDI-TOF MS Matrix-Assisted Laser Desorption IonizationTime of Flight Mass Spectrometry Organic Acid (DHB) Wieser et al. (2012) Appl. Microbiol. Biotechnol. 93:965-974. Intens. [a.u.] Unique Spectral Peaks Correlate with Organism Identification Aspergillus fumigatus 3000 2000 Intens. [a.u.] 1000 0 Bacillus subtilis 8000 6000 4000 2000 0 Candida albicans 1.0 0.8 0.6 0.4 0.2 0.0 Eschericia coli 2500 2000 1500 Courtesy of Anna Lau 1000 500 0 3000 4000 5000 6000 7000 8000 9000 10000 Beads Improved Extraction for Mycobacteria and Molds M. avium Beads Score = 1.97 M. avium No beads Score = 1.63 Mold Extraction is Rapid (15 min) Pure isolate. Medium, temperature, & age independent. 5mm piece of mold placed into 250 uL EtOH with beads Add 50 uL 70% formic acid Spin 13,000 rpm 2 min, remove all EtOH Vortex 15 min (1 min) Vortex 5 min Add 50 uL ACN, vortex (1 min) 5 min Spin 13,000 rpm 2 min (1 min) 1 uL of supernatant spotted onto plate Recent Case Blood Culture Positive Identification with MALDI-TOF No additional culture required 9 year old boy with leukemia Courtesy of Ann Lau & Adrian Zelazny Fusarium http://haicontroversies.blogspot.com/2011_12_01_archive.html Genome Sequencing Technology Database completeness and Bioinformatics Expertise is Very Important Roche/454 Courtesy Julie Segre PacBio Illumina MiSeq Illumina HiSeq PacBio Single Molecule Real-time Sequencing Provide Detailed Plasmid Data Short 1 kb reads Long 10 kb read plasmids Courtesy Julie Segre Bacterial chromosome https://www.qiagen.com Genome Sequencing Successfully Used to Understand Transmission of Bacteria Between Patients Epidemiological Data Snikin et al., Sci Trans Med, 2012. 4(148):1-9 Genetic Data Added Advancing Sequencing Distinguished Plasmids Carrying Similar Resistance Genes Klebsiella pneumoniae Enterobacter cloacae pKpQIL no match KPC-2 KPC-3 Conlan et al., Sci Transl Med. 2014 Sep 17;6(254):254ra126 Reliable Freezer or Lyophilizer System with Redundancy is Essential http://www.immunochemistry.com/ http://www.copanusa.com http://www.esquirebiotech.com http://www.laboratory-equipment.com