ISSN 19907508, Biochemistry (Moscow) Supplement Series B: Biomedical Chemistry, 2013, Vol. 7, No. 1, pp. 70–78. © Pleiades Publishing, Ltd., 2013.
Original Russian Text © M.A. Kornienko, E.N. Ilina, A.D. Borovskaya, M.V. Edelstein, M.V. Sukhorukova,M. Kostrzewa, V.M. Govorun, 2013, published in Biomeditsinskaya
Khimiya.
70
1
INTRODUCTION
Staphylococcus aureus attracts traditional interest
of researchers specialized in the field of clinical micro
biology. First, due to a wide spectrum of inflammatory
reactions induced by this microorganism, and second,
due to increasing number of drugresistant forms of
Staphylococcus species frequently acting as the etiotro
pic agent responsible for formation of hospital infec
tions.
Pathogenicity of staphylococcal strains is mainly
determined by the presence of numerous virulence
factors [1]. Traditionally, microbial features favoring
microorganism distribution in the natural population
are considered as the virulence and pathogenicity fac
tors of any bacterial pathogenic agent. In the case of
Staphylococcus these include formation of antibacte
rial drugresistance, production of numerous exotox
ins, adhesivity towards human cells, colonization of
the epithelium. The main staphylococcal toxins are
hemolysins, PantonValentine leukocidin, numerous
enterotoxins belonging to the serological types A ⎯E,
G, H, J, K ⎯R, toxic shock syndrome toxin, exfoliative
1
To whom correspondence should be addressed.
toxins, A and B, etc. The main staphylococcal toxins
are proteins with molecular mass from 22 to 34 kDa
[2]. Some adhesion and colonization factors are also
proteins; for example, αhemolysin encoded by the
hla gene is a protein of 33 kDa [1]. αHemolysin
exhibits not only cytolytic activity towards monocytes,
lymphocytes, erythrocytes, and platelets, it is also
needed for biofilm formation and also for adhesion of
bacterial cells on the surface of host cells [1, 3].
Since βlactam antibiotics are the most active
against S. aureus [4] formation of resistance to these
antibacterial drugs is considered as the main pathoge
nicity factor. Resistance of S. aureus to penicillin is
associated with production βlactamases encoded by
the blaZ gene. βLactamases hydrolyze natural and
semisynthetic penicillins except methicillin and isox
asolylpenicillins. Methicillin resistance in staphylo
coccal strains is associated with the presence of an
additions penicillinbinding protein exhibiting lower
affinity to βlactam antibiotics [5]. This protein is
encoded by the gene mecA and the presence of this
gene in the staphylococcal genome determines pheno
typic resistance to all βlactam antibiotics [4]. Fre
quently, the mec cassettes may include genes responsi
Strain Differentiation of Staphylococcus aureus by Means
of Direct MALDI TOF Mass Spectrometry Profiling
M. A. Kornienko
a, 1
, E. N. Ilina
a
, A. D. Borovskaya
a
, M. V. Edelstein
b
, M. V. Sukhorukova
b
,
M. Kostrzewa
c
, and V. M. Govorun
a
a
Research Institute for PhysicalChemical Medicine, ul. M. Pirogovskaya 1a, Moscow, 119435 Russia
tel.: +7 (499) 2464570; email: kornienkomariya@gmail.com
b
Institute of Antimicrobial Chemotherapy, Moscow, Russia
c
Bruker Daltonik GmbH, Bremen, Germany
Received January 11, 2012
Abstract—Staphylococcus aureus is one of the most interesting microbial species in clinical studies. It is char
acterized by a wide extent of strain diversity, first of all, due to variability in virulence and pathogenicity. The
aim of this study was to test the method of rapid Staphylococcus strain differentiation by a certain sign based
on registration of characteristics features of MALDI mass spectra accumulated during direct protein profiling
of the bacterial cell. The model signs registered as strain differences included production of βlactamase and
αhemolysin encoded by blaZ and hla genes, respectively.
The mathematical analysis of MALDI mass spectra accumulated for 53 S. aureus isolates using the clustering
genetic algorithm resulted in generation of two independent classification models, which could differentiate
the strains by the considered features. Using statistical contribution of each mass peak to the model, the most
significant peaks (masses), which could be considered as the markers of Staphylococcus strain differences,
were found. The generated diagnostic models were characterized by the following sensitivity and specificity
coefficients: 97.5 and 82.5%, respectively, for strain differentiation by βlactamase production and 90.0 and
88.7% by the presence of αhemolysin.
Keywords: Staphylococcus, strain differentiation, MALDI TOF mass spectrometry
DOI: 10.1134/S1990750813010095