1. Fast and Accurate Bacterial Species Identification in Urine Specimens Using LC-MS/MS Mass Spectrometry and Machine Learning
- Author
-
Frédéric Fournier, Isabelle Kelly, Maurice Boissinot, Michel G. Bergeron, Mickael Leclercq, Florence Roux-Dalvai, Arnaud Droit, Judith Marcoux, Julie Bestman-Smith, Claire Dauly, Marie-Claude Hélie, Clarisse Gotti, and Tabiwang N. Arrey
- Subjects
Proteomics ,Microbiological culture ,Bacteriuria ,Virulence ,Urine ,Tandem mass spectrometry ,Machine learning ,computer.software_genre ,Biochemistry ,Microbiology ,Analytical Chemistry ,Machine Learning ,03 medical and health sciences ,Biological specimen ,Bacterial Proteins ,Tandem Mass Spectrometry ,targeted mass spectrometry ,Humans ,LC-MS/MS ,Molecular Biology ,030304 developmental biology ,0303 health sciences ,biology ,Bacteria ,urine analysis ,business.industry ,030302 biochemistry & molecular biology ,Technological Innovation and Resources ,biology.organism_classification ,Targeted mass spectrometry ,Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization ,SWATH-MS ,Artificial intelligence ,business ,Peptides ,computer ,Specific identification ,Chromatography, Liquid - Abstract
We have developed a new method for the identification of bacterial species causing Urinary Tract Infections. The first training step used DIA analysis on multiple replicates of bacterial inoculates to define a peptide signature by machine learning classifiers. In a second identification step, the signature is monitored by targeted proteomics on unknown samples. This fast, culture-free and accurate method paves the way of the development of new diagnostic approaches limiting the emergence of antimicrobial resistances., Graphical Abstract Highlights Fast and culture-free method for the identification of the 15 bacterial species causing UTIs. Combination of DIA analysis and machine learning algorithms to define a peptide signature. High accuracy, good linearity and reproducibility, sensitivity below standard threshold. Transferability to other laboratories and other mass spectrometers., Fast identification of microbial species in clinical samples is essential to provide an appropriate antibiotherapy to the patient and reduce the prescription of broad-spectrum antimicrobials leading to antibioresistances. MALDI-TOF-MS technology has become a tool of choice for microbial identification but has several drawbacks: it requires a long step of bacterial culture before analysis (≥24 h), has a low specificity and is not quantitative. We developed a new strategy for identifying bacterial species in urine using specific LC-MS/MS peptidic signatures. In the first training step, libraries of peptides are obtained on pure bacterial colonies in DDA mode, their detection in urine is then verified in DIA mode, followed by the use of machine learning classifiers (NaiveBayes, BayesNet and Hoeffding tree) to define a peptidic signature to distinguish each bacterial species from the others. Then, in the second step, this signature is monitored in unknown urine samples using targeted proteomics. This method, allowing bacterial identification in less than 4 h, has been applied to fifteen species representing 84% of all Urinary Tract Infections. More than 31,000 peptides in 190 samples were quantified by DIA and classified by machine learning to determine an 82 peptides signature and build a prediction model. This signature was validated for its use in routine using Parallel Reaction Monitoring on two different instruments. Linearity and reproducibility of the method were demonstrated as well as its accuracy on donor specimens. Within 4h and without bacterial culture, our method was able to predict the predominant bacteria infecting a sample in 97% of cases and 100% above the standard threshold. This work demonstrates the efficiency of our method for the rapid and specific identification of the bacterial species causing UTI and could be extended in the future to other biological specimens and to bacteria having specific virulence or resistance factors.
- Published
- 2019