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Hrabak, J.

Publications and source records attributed to Hrabak, J..

3 recordsLinked to original sources

Ion Mobility-Enhanced Liquid Chromatography Coupled with Mass Spectrometry (LC-MS) Enables Reliable Detection of OXA-48-Like Carbapenemases Beyond Conventional Activity-Based Assays

Carbapenemases are major drivers of carbapenem resistance in Gram-negative bacteria and pose a critical threat to last-line antibiotic therapy. Rapid identification of carbapenemase classes is essential for appropriate treatment and epidemiological surveillance; however, current functional methods lack class-level resolution and may yield false-negative results for OXA-48-like enzymes. In this study, we developed and validated an assay based on liquid chromatography-mass spectrometry with trapped ion mobility spectrometry-time-of-flight [LC-MS (timsTOF)] for simultaneous detection and class-level differentiation of five clinically relevant carbapenemases (KPC, NDM, VIM, IMP, and OXA-48-like). The method employs three carbapenem substrates (meropenem, imipenem, and ertapenem). A total of 55 clinical isolates were analyzed using a standardized 2-hour incubation protocol, with a total analysis time of 7 min per sample. Ion mobility enabled unambiguous identification of the OXA-48-specific meropenem-derived {beta}-lactone based on its distinct collisional cross-section (185 [A]{superscript 2} vs. 191 [A]{superscript 2} for intact meropenem), despite identical mass and nearly identical retention time. This marker was detected in all OXA-48-like producers and was absent in all other groups. In contrast, imipenem and ertapenem did not provide comparable discrimination, highlighting the central role of meropenem. Distinct hydrolysis profiles enabled class-level differentiation supported by multivariate analysis. LC-MS (timsTOF) thus enables rapid, sensitive, and specific functional detection of carbapenemases within a single workflow. The ion mobility dimension is critical for accurate identification of OXA-48-like enzymes and supports the potential implementation of this approach in routine clinical microbiology laboratories. ImportanceThis study introduces an ion mobility-enabled LC-MS (timsTOF) approach for functional detection and class-level differentiation of clinically relevant carbapenemases within a single analytical workflow. By leveraging collisional cross-section measurements, the method enables reliable identification of OXA-48-like carbapenemase through detection of a meropenem-derived {beta}-lactone that is indistinguishable by mass alone. This directly addresses a major diagnostic limitation of conventional activity-based assays, which may yield false-negative results for OXA-48-like enzymes. The approach further demonstrates the potential of integrating ion mobility into routine clinical mass spectrometry to enhance specificity beyond traditional mass and retention time measurements. These findings support the development of next-generation diagnostic strategies capable of detecting both known and emerging resistance mechanisms without reliance on predefined targets.

microbiology↗

Mass Spectrometric Profiling of Microbial Polysaccharides Using Laser Desorption/Ionization - Time-of-Flight (LDI-TOF) and Liquid Chromatography/Mass Spectrometry (LC/MS): A Novel Method for Structural Fingerprinting and Derivatization

Over the last two decades, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) has been introduced into the routine diagnostic practice of microbiological laboratories for the rapid taxonomic identification of bacteria and yeasts. However, a method that effectively identifies microbes directly from clinical samples using MALDI-TOF MS has not yet been found. One of the promising targets is microbial polysaccharides, which are abundant structures in bacterial and fungal cells. Their rapid and inexpensive analysis, however, is complicated. This study focused on detecting microbial polysaccharides, such as lipopolysaccharides, using MALDI-TOF MS and liquid chromatography-tandem mass spectrometry (LC-MS). We developed a method for fingerprinting polysaccharides by acid hydrolysis and enzymatic digestion. The mono- and oligosaccharides are then derivatized with a newly developed probe (vanillyl pararosaniline, HD ligand), enabling efficient ionization without the use of the MALDI matrix. The esterification of hydroxyl groups by formic acid was also optimized for precise analysis of the saccharides. The method was validated using several saccharides as well as Escherichia coli lipopolysaccharides (O26:B6, O55:B5, and O111:B4). Derivatization using HD ligand also allows the detection of structures containing amines and phosphate groups in positive ion mode. We also optimize the method using crude bacteria (Escherichia coli, Salmonella enterica, Shigella dysenteriae, Shigella boydii, Shigella flexneri, and Legionella pneumophila). This approach opens the possibility of directly detecting microbial polysaccharides from clinical specimens. LDI-TOF MS (without a matrix) also allows specific detection of molecules of interest with suppression of the background signal. O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=194 SRC="FIGDIR/small/653920v1_figsch1.gif" ALT="Figure 1"> View larger version (41K): org.highwire.dtl.DTLVardef@71e410org.highwire.dtl.DTLVardef@133f25corg.highwire.dtl.DTLVardef@16caf0dorg.highwire.dtl.DTLVardef@589cf5_HPS_FORMAT_FIGEXP M_FIG O_FLOATNOScheme 1.C_FLOATNO Analysis of polysaccharides by mass spectrometry after digestion and derivatization using a self-ionizable ligand (HD ligand). C_FIG

microbiology↗

Comparative genomics of carbapenemase-producing Morganella spp.

BackgroundMorganella are opportunistic pathogens involved in various infections. In Morganella, intrinsic resistance to multiple antibiotics including colistin combined with the emergence of carbapenemase-producers (CP) strongly limits the antimicrobial armamentarium. MethodsFrom 2013 to 2021, 172 highly drug-resistant (XDR) Morganella isolates from 8 European countries and Canada, two reference strains from the Pasteur Institute collection and two susceptible isolates were characterized by WGS, antimicrobial susceptibility testing and biochemical tests. Complete genomes from Genbank (n=103) were included for genomic analysis. Intrinsic resistance mechanism to polymyxins was deciphered by combining genetic analysis with mass spectrometry on the lipid A. FindingsMorganella could be separated into 4 species named M. psychrotolerans, M. sibonii, M. morganii and a new species represented by a unique strain. Morganella morganii included two subspecies: M. morganii subsp. morganii (the most prevalent) and M. morganii subsp. intermedius. Intrinsic resistance to tetracycline and conservation of metabolic pathways correlated this refined taxonomy. CP were mostly identified among five high-risk clones of M. morganii subsp. morganii. A single nucleotide polymorphism (SNP) cut-off of 100 was used to decipher outbreaks involving this species. Cefepime-zidebactam and ceftazidime-avibactam were the most potent antimicrobials towards the 172 XDR Morganella spp. isolates of our collection (including 145 CP) except for metallo-{beta}-lactamase-producers. The intrinsic resistance to polymyxins corresponds to the addition of L-Ara4N on the lipid A. InterpretationThis global characterization of the widest collection of XDR Morganella spp. highlighted the need to clarify the taxonomy, deciphered intrinsic resistance mechanisms and paved the way for further genomic comparisons. FundingNone RESEARCH IN CONTEXTO_ST_ABSEvidence before this studyC_ST_ABSOn January 28th 2022, we have searched for the terms "Morganella" and "carbapenemase" in all published reports available in PubMed with no language restriction. We identified a total of 43 articles and most of them (41/43) corresponded to a report of a single isolate of carbapenemase-producing Morganella morganii. Only one article aimed to decipher the antimicrobial susceptibility on a collection of Proteus, Providencia and Morganella isolated from global hospitalized patients with intra-abdominal and urinary tract infections. However, this collection only included 7 M. morganii isolates. On March 2021, when we finished the inclusions in our collection, only 104 genomes of Morganella spp. were available in the NCBI database. Since September 2021, very few reports were published on carbapenemase-producing Morganella with the exception of a study from Xiang G et al. reported 40 multi-drug resistant M. morganii isolates recovered from three hospitals in China from 2014 to 2020. Unfortunately, this collection included only two carbapenemase-producing M. morganii isolates (one OXA-48 and one IMP-1). A report of KPC-producing M. morganii in Japan and a longitudinal study of carbapemase-producing Enterobactrales in Taiwan that did not focused on Morganella. We also searched in PubMed for the terms Morganella sibonii" or "Morganella psychrotolerans" in all published reports with no language restrictions. Our search identified a total of 20 articles. None of them was related to antimicrobial resistance and no study deciphered the Morganella spp. epidemiology on clinical isolates. Added values of this studyThis global characterization involved the widest collection of Morganella spp. isolates ever reported (barely doubling the number of Morganella spp. genomes in Genbank). In addition, 145 isolates of this worldwide collection made of 172 multidrug resistant Morganella spp. were carbapenemase producers for which therapeutic alternatives are scarce due to intrinsic resistance to last resort molecules, such as polymyxin. First, we found that cefepime-zidebactam and ceftazidime-avibactam were the most potent antimicrobials towards XDR Morganella spp. isolates except for metallo-{beta}-lactamase-producers. Then, we observed that carbapenemase-encoding genes were present in different Morganella species highlighting necessary changes in the taxonomy. Morganella genus could be divided into 4 species named M. psychrotolerans, M. sibonii, M. morganii and a new species represented by a unique strain. Morganella morganii includes two subspecies: M. morganii subsp. morganii (the most prevalent) and M. morganii subsp. intermedius. We demonstrated that this refined taxonomy correlated with the intrinsic resistance to tetracycline, which was found only in M. sibonii, as well as several metabolic pathways (e.g. trehalose assimilation, type III (T3SS) and type IV secretion system (T6SS), etc....). In addition, we highlighted five "high-risk" clones of carbapenemase-producing M. morganii subsp. morganii that have already disseminated worldwide. Combining whole genome sequencing (WGS) data with epidemiological investigations, we demonstrated that a cut-off of 100 single nucleotide polymorphisms (SNPs) could be used to discriminate clonally-related from sporadic independent isolates. This information is of the utmost importance since WGS is now considered as the reference method to identify and follow outbreaks. The intrinsic resistance of Morganella spp. to polymyxins was well-known but the underlying mechanism was unclear. Here, we demonstrated that the addition of L-Ara4N on the lipid A of Morganella is involved. Implications of all the available evidenceThe identification of "high-risk" clones among highly-drug resistant Morganella spp. paves the way of future investigations to better understand and hopefully limit the spread of these bugs. Additionally, our results identified new components and virulence factors of some Morganella species (e.g. T6SS and T3SS in M. sibonii) that deserve further investigation since they might be implicated in the bacterial lifestyle of this genus.

microbiology↗