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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

Multi-azole-resistant Aspergillus fumigatus in the environment in Tanzania

TL;DR: The coexistence of both TR₃₄/L98H and TR⁄₆/Y121F/T289A resistance mechanisms in azole-resistant A. fumigatus isolates originating from Tanzania is reported.
Journal ArticleDOI

Invasive fungal infections in the ICU: how to approach, how to treat.

TL;DR: Factors related to patient’s clinical situation and present co-morbidities, local epidemiology data and purpose of treatment should be taken into account for the appropriate choice of antifungal agent.
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Characterization of fungal spores by laser desorption/ionization time-of-flight mass spectrometry.

TL;DR: The high percentage of carbohydrate in the fungal cell wall indicates that the ions observed in the mass spectrometric experiments may be of carbohydrate origin, and the adaptation of this technique to the direct analysis of fungal cells is reported.
Journal ArticleDOI

Management of catheter-associated urinary tract infection

TL;DR: Many aspects of the management of CAUTI merit further study, and the current interest inCAUTI is likely to lead to exciting advances in this field, as little new evidence is available to guide diagnosis and treatment strategies.
Journal ArticleDOI

Characterization of protein biomarkers desorbed by MALDI from whole fungal cells.

TL;DR: It is determined that the best technique for cell wall lyses for MALDI involves the use of high concentrations of formic acid solutions, and it is shown that different fungal species exhibit different mass spectra, which can be used to distinguish them readily.
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