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Identification of a proteomic biomarker associated with invasive ST1, serotype VI Group B Streptococcus by MALDI-TOF MS
Authors:Hsiao-Chuan Lin  Jang-Jih Lu  Lee-Chung Lin  Cheng-Mao Ho  Kao-Pin Hwang  Yu-Ching Liu  Chao-Jung Chen
Affiliation:1. School of Medicine, China Medical University, Taichung, Taiwan;2. Department of Pediatric Infectious Diseases, China Medical University Children''s Hospital, Taichung, Taiwan;3. Department of Laboratory Medicine, Linkou Chang-Gung Memorial Hospital, Taoyuan, Taiwan;4. Department of Medical Research, China Medical University Hospital, Taichung, Taiwan;5. Department of Medical Biotechnology and Laboratory Science, Chang Gung University, Kwei-Shan, Taoyuan, Taiwan;6. Division of Infectious Diseases, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan;7. Proteomics Core Laboratory, Department of Medical Research, China Medical University Hospital, Taichung, Taiwan;8. Graduate Institute of Integrated Medicine, China Medical University, Taichung, Taiwan
Abstract:

Background

Group B Streptococcus (GBS) is an important invasive pathogen in neonates, pregnant women and the elderly. Serotype VI GBS, which has been rarely reported globally, has emerged as a significant pathogen in Asia. However, traditional serologic latex agglutination (LA) methods may fail to type isolates that lack of or low expression of CPS.

Methods

A total of 104 GBS strains were analyzed by MALDI-TOF MS. Multiplex PCR and multilocus sequence typing (MLST) were also performed to confirm their strains. The protein markers were purified with gel electrophoresis and LC-column, followed by identification with nanoLC–MS/MS analysis.

Results

Protein peak of 6251-Da was appeared in most (20/24, 92%) serotypes VI (94% ST-1 or single locus variant of ST-1), and protein peak of 6891-Da was appeared in most serotypes III (15/18, 83%) and Ib (19/23, 83%) strains. The protein peak of 6251-Da and 6891-Da were identified as CsbD family protein and UPF0337 protein gbs0600, respectively.

Conclusions

The protein peak of 6251 Da may play a role of emergence of ST-1 clone, serotype VI GBS in central Taiwan and could be useful in rapid identifying invasive serotype VI from III isolates, which is hardly achieved by LA.
Keywords:Multilocus sequence typing  Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry  Sequence type
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