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Pushing the Limits of MALDI-TOF Mass Spectrometry: Beyond Fungal Species Identification

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TLDR
In this article, a review of the use of MALDI-TOF in the clinical mycology laboratory is presented, focusing on present and future applications of this versatile analytical tool in the field of bioinformatics.
Abstract
Matrix assisted laser desorption ionization time of flight (MALDI-TOF) is a powerful analytical tool that has revolutionized microbial identification. Routinely used for bacterial identification, MALDI-TOF has recently been applied to both yeast and filamentous fungi, confirming its pivotal role in the rapid and reliable diagnosis of infections. Subspecies-level identification holds an important role in epidemiological investigations aimed at tracing virulent or drug resistant clones. This review focuses on present and future applications of this versatile tool in the clinical mycology laboratory.

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Journal ArticleDOI

Molecular diagnostics in medical mycology

TL;DR: Current and future molecular technologies used for fungal identification, and some of the problems associated with development and implementation of these technologies in today’s clinical microbiology laboratories are discussed.
Journal ArticleDOI

Online Databases for Taxonomy and Identification of Pathogenic Fungi and Proposal for a Cloud-Based Dynamic Data Network Platform.

TL;DR: This minireview aims to provide an overview of currently available online databases for the taxonomy and identification of human and animal-pathogenic fungi and calls for the establishment of a cloud-based dynamic data network platform.
Journal ArticleDOI

New) Methods for Detection of Aspergillus fumigatus Resistance in Clinical Samples.

TL;DR: New molecular-based approaches for detecting triazole resistance to Aspergillus, real-time polymerase chain reaction (PCR) to detect mutations to the Cyp51A protein, have been developed which are able to detect mostTriazole-resistant A. fumigatus strains in patients with invasive aspergillosis.
Journal ArticleDOI

New method for the identification of arbuscular mycorrhizal fungi by proteomic-based biotyping of spores using MALDI-TOF-MS

TL;DR: Fast, accurate and inexpensive molecular mass determination and the possibility of automation make MALDI-TOF-MS a real alternative to conventional morphological and molecular methods for AMF identification.
Journal ArticleDOI

MALDI-TOF mass spectroscopy of yeasts and filamentous fungi for research and diagnostics in the agricultural value chain

TL;DR: The role of MALDI-TOF MS as a tool for species identification; in particular with respect to DNA-based identification methods is discussed, and the value of custom-made reference spectra for MalDI biotyping is highlighted.
References
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Journal ArticleDOI

Rapid discrimination of Legionella by matrix-assisted laser desorption ionization time-of-flight mass spectrometry.

TL;DR: Two molecular typing methods were used to discriminate 23 Legionella pneumophila strains and MALDI-TOF-MS offered a simple and rapid discrimination technique that could aid in the tracking of fast-spreading outbreaks of Legionella.
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Rapid identification and susceptibility testing of Candida spp. from positive blood cultures by combination of direct MALDI-TOF mass spectrometry and direct inoculation of Vitek 2.

TL;DR: Performance for azole susceptibility testing was suboptimal and testing from subculture remains indispensable to validate the direct finding, compared to routine procedures.
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Fusarium infections. Criteria for the identification of the responsible species.

TL;DR: The main criteria that should be used in the identification of the responsible species of Fusarium, which is increasing in contemporary medicine, are included.
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Recent Taxonomic Developments with Candida and Other Opportunistic Yeasts.

TL;DR: The coming end of the fungal taxonomy rules requiring separate names for sexual and asexual forms of the same fungus will hopefully allow greater clarity, as names for medically important yeast can now be based on the needs of the medical mycology community and the common goal of better communication between laboratory and clinician.
Journal ArticleDOI

Treatment of fungal disease in the setting of neutropenia

TL;DR: The challenges of these emerging pathogens underscore the need for the development of new antifungal agents and strategies.
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