key: cord-0005135-b5p4v7et authors: Fykse, Else Marie; Tjärnhage, Torbjörn; Humppi, Tarmo; Eggen, Vilde Sørvik; Ingebretsen, Andre; Skogan, Gunnar; Olofsson, Göran; Wästerby, Pär; Gradmark, Per-Åke; Larsson, Anders; Dybwad, Marius; Blatny, Janet Martha title: Identification of airborne bacteria by 16S rDNA sequencing, MALDI-TOF MS and the MIDI microbial identification system date: 2015-01-17 journal: Aerobiologia (Bologna) DOI: 10.1007/s10453-015-9363-9 sha: d0d1203ec39dcc1a0fdbe2239364eff578c56d0c doc_id: 5135 cord_uid: b5p4v7et The aim of this study was to collect and identify airborne bacteria in Norway, Sweden and Finland and to compare three different technologies for identifying collected airborne bacterial isolates: the “gold standard” method 16S rDNA sequencing, MALDI-TOF MS using the MALDI Biotyper 2.0 and the MIDI Sherlock(®) Microbial Identification System (MIDI MIS system). Airborne bacteria were collected during three different periods from May to October 2009 using air sampling directly on agar plates. A total of 140 isolates were collected during three sampling campaigns, and 74 % (103) of these isolates were analyzed by all three methods. The dominant genera in Norway and Finland were the gram-positive bacteria Bacillus and Staphylococcus, whereas the gram-negative bacterium Acinetobacter was the dominant genus in Sweden. Using 16S rDNA sequencing, MALDI-TOF MS and MIDI MIS analysis, 83, 79 and 75 %, respectively, of the isolates were identified and assigned to order or higher taxonomic levels. In this study, the MALDI-TOF MS combining with the MALDI Biotyper 2.0 classification tool was demonstrated to be a fast and reliable alternative for identifying the airborne bacterial isolates. These studies have increased knowledge about the airborne bacterial background in outdoor air, which can be useful for evaluating and improving the operational performance of biological detectors in various environments. To our knowledge, this is the first time that 16S rDNA sequencing, MALDI-TOF MS and MIDI MIS analysis technologies have been compared for their efficiency in identifying airborne bacteria. Bioaerosols have been studied in several indoor and outdoor environments addressing public and occupational health-related questions (e.g., indoor air quality control and health hazard assessments), as well as microbial ecology, atmospheric science and biodefense (Gilbert and Duchaine 2009; Mandal and Brandl 2011; Després et al. 2012) . Microorganisms such as Mycobacterium tuberculosis, Legionella pneumophila, airborne viruses exemplified with SARS and influenza are of concern for the public health and associated with an airborne route of exposure (Stetzenbach et al. 2004 ). Disease causing bacteria or viruses can also be deliberately dispersed as bioaerosols (Atlas 2002; Levin and de Amorim 2003) , and in the absence of reliable biological detector and surveillance systems, exposed individuals will not be aware of a biological incident until clinical symptoms appear and when they seek medical care. Knowledge about the microbial diversity in air is important for detector performance and for development of specific, selective and sensitive methods for detection and identification of specific airborne pathogenic bacteria. In previous studies, airborne viable bacteria at Kjeller (Norway) and Sarpsborg, the latter at a biological treatment plant (Norway) were collected and classified to the genera level using 16S rDNA gene sequencing (Fykse et al. 2008; Blatny et al. 2011) . Bacteria belonging to different genera were identified, and the dominant cultivable bacteria collected on agar in slit array was gram-positive Actinobacteria and Bacillus, whereas the dominating sequences identified in DNA samples extracted directly from collected aerosol samples was gram-negative Proteobacteria. Characterization of viable airborne bacteria at an underground subway in Oslo (Norway) showed that the major bacteria identified belonged to the genera Bacillus, Micrococcus and Staphylococcus (Dybwad et al. 2012) . Matrix-assisted laser desorption/ionization mass spectrometry (MALDI-TOF MS) has successfully been used for microbial identification. Comparatively, the gold standard method 16S rDNA sequencing for identification of bacterial isolates is more timeconsuming and less cost effective (Woo et al. 2003; Cherkaoui et al. 2010) . For bacteria, the mass spectrum of unknown isolates is compared to a spectral library of reference strains and the species or genus is assigned based on the highest percent similarity to the reference spectral profiles (Sauer et al. 2008 ). Several publications have described the use of MALDI-TOF MS in routine clinical analysis (Eigner et al. 2009; Patel 2013) . The MIDI MIS technique is based on fatty acid methyl ester analysis by gas chromatography (GC-FAME) and has been used to identify microbes in environmental and clinical samples (Slabbinck et al. 2009 ). The fatty acid profile (dependending on the growth medium used for culture) of a microbe is complex and unique to each bacterial strain, and hence, it can be used for identification purposes. In addition to identification, FAME analysis has been used for strain or subspecies level comparisons (Van den Velde et al. 2006) . Previously, the MIDI MIS system has been successfully utilized for the differentiation of various strains of Bacillus thuringiensis (Adams et al. 2005) . The cellular fatty acid profiles of 67 strains belonging to three different species of the genus Mycobacterium have been determined from clinical samples (Ozbek and Aktas 2003) . However, to our knowledge, there are few articles describing the use of the MIDI MIS system and MALDI-TOF MS for identification of airborne bacteria (Chan et al. 2009; Dybwad et al. 2012 Dybwad et al. , 2014 . The aim of the present study was to compare three different methods for their ability to identify the collected airborne bacterial isolates. These included the traditional 16S rDNA sequencing method and the more rapid screening methods MALDI-TOF MS combined with the MALDI Biotyper 2.0 and the MIDI MIS system. The viable airborne bacteria in Norway, Sweden and Finland collected at three different time point during the period May-October 2009 were identified and compared. The air sampling was performed at the Norwegian Defence Research Establishment (FFI), Kjeller, Norway (59°58 0 26.26N/11°02 0 48.38E), at the Defence Forces Technical Research Centre (PvTT), Lakiala, Finland (61°36 0 11.76N/23°29 0 26.28) and at the Swedish Defence Research Agency (FOI), Umeå, Sweden (63°51 0 0.83 00 N/20°19 0 53.21 00 E) during May to October 2009. The sampling periods (indicated as I, II and III) and the weather conditions during the sampling are specified in Table 1 . Sweden performed only two sampling campaigns. The sampling site in Norway was a suburban agricultural area located 20 km north of Oslo city. The sampling site in Sweden was on the Umeå city border with suburban character, close to coniferous forest. In Finland, the sampling site was a woody terrain located in a suburban area 20 km southeast of Tampere. Briefly, airborne bacteria were sampled using slit samplers onto Trypticase soy agar (TSA) plates (Merck, Darmstadt, Germany). Three different methods were used to identify the colonies. The MIDI analyses were performed in Finland, and the 16S rDNA sequencing and MALDI-TOF MS analyses were performed in Norway. Air sampling by impaction on agar plates was carried out during the same time period in Norway, Sweden and Finland in order to collect and identify viable airborne bacteria present in the three environments. Sampling of air was performed using the New Brunswick STA-203 (array) and STA 204 slit-to-agar samplers (at FFI and PvTT, respectively) or the Mattson-Garvin slit-to-agar sampler array (at FOI) (Ho et al. 2005; Blatny et al. 2011) . Biological particles were impacted onto a 150 mm 9 15 mm TSA agar plate in a slit sampler. The slit samplers were collecting air at a flow rate of 30 L/min. The STA-203 and the Mattson-Garvin sampler arrays consisted of ten samplers sequentially linked to each other. The STA-203 slit arrays were run for 3 9 8 h with eight samplers (two periods during daytime and one period during night), whereas the Mattson-Garvin slit array was run for 2 9 6 h with six samplers (daytime) and 1 9 10 h with ten samplers (night). A sampling time of 60 min on each agar plate was used (1,800 L of air). The STA 204 slit samplers were collecting air at a flow rate of 30 L/min for 60 min (1,800 L of air) before the agar plate was changed. After sampling, all plates were incubated at 30°C for 24 h. The number of colonies was enumerated manually or using an automatic counter, ProtoCol (Kaiser; Germany). The number on each agar plate differed between no colonies and several hundred. A representative selection of morphologically distinct bacterial colonies were isolated and re-streaked two times on TSA agar to produce individual colonies and incubated as described before identification. A total of 140 colonies were isolated. The origin of the 140 isolates was the following: 71 isolates from Norway, 43 from Sweden and 26 from Finland. Of these isolates, 122 (87 %) were identified and confirmed by similar results for two of the three methods and 103 (74 %) were analyzed using all three methods for comparison of the three identification methods. When colonies were shipped to Finland and Norway for analysis, a single colony was transferred from the TSA agar onto an agar slant of TSA (1 mL) in cryo tubes (2 mL) and incubated at 30°C for 24 h before transportation by mail. Upon arrival, the colonies were streaked out on TSA agar and incubated as described. However, some colonies were not able to grow after shipping or storage and therefore unable to be identified. Therefore, the number of analyzed isolates varies from the total number (140 as stated above) of colonies picked. The number of isolates analyzed by the three different methods is stated below. Isolates were kept for long-time storage at -80°C in brain heart infusion broth (Oxoid) supplemented with 18 % glycerol (Merck). The number of colonies, CFU/m 3 of air, reflects the ratio of airborne particles carrying viable organisms. The isolates were amplified using the 16S rRNA primers 27f/1492r and sequenced as described (Despres et al. 2007; Fykse et al. 2013) . PCR amplicons were sequenced at the Eurofins MWG Operon (Ebersber, Germany). The sequence trace files were assembled, trimmed, aligned and manually checked using Bionumerics software 6.0 (Applied. Maths. Sint-Martens Latem, Belgium), and the sequences were classified using the Classifier and SeqMath tools at the Ribosomal Database Project (RDP) ) and BLASTn databases via the online interface at National Center of Biotechnology and Information (NCBI). In general, taxonomic classification is based on sequence similarities of [98 %. From sampling campaign I, II and III, a total of 127 of the 140 isolates were sequenced and identified. Some sequences were not readable, and some isolates did not grow after storage and was therefore not sequenced. The isolates were classified/identified using a Micro-Flex MALDI-TOF MS instrument in combination with the MALDI Biotyper 2.0 microbial identification system/platform (Bruker Daltronics, Bremen, Germany). The MALDI-TOF analysis is based on fingerprints of the mass spectra in the mass range 2,000-20,000 Da. In this range, the 16S rRNA binding proteins are represented. The spectra are compared to a reference database (Bruker Taxonomy) by the MALDI Biotyper 2.0 system, and putative genera or species is identified from the fingerprint of the bacteria. From sampling campaign I, II and III, a total of 127 (91 %) of the 140 isolates were analyzed. Some isolates failed to grow after storage and shipping and was therefore not identified. The analysis was performed as described (Dybwad et al. 2012 ). Briefly, a single colony from a TSA agar plate (kept at room temperature) was deposited on the 96 ground steel target plate as triplicate and air-dried. In the direct method, the target plate with the colonies was overlain with 1 lL matrix solution [4-hydroxy-a-cyanocinnamic acid (HCCA)]. The sample was air-dried and loaded into the MicroFlex instrument for data acquisition. The Biotyper 2.0 system was run in automatic classification mode, and the reference database used was the Bruker Taxonomy database (v3.1.1.0, containing the 3,740 library entries). Analysis of each sample takes 5-15 s. Some difficult-to-process isolates were extracted with ethanol/formic acid (Drevinek et al. 2012) The Chi-square test was used to investigate whether the biological diversity was similar between the different countries and the different dates. The test was also used to investigate the different methods' ability to identify the isolates. The Chi-square test is used to determine whether there is a significant difference between the observed results and the expected (the hypothesis). The hypothesis in this study is that the diversity is similar on the different sites, the different periods and that the different methods have the same ability to identify the isolates. The significance level was set to p \ 0.05. The weather conditions during the sampling periods at the three different sites were similar with a temperature range of -4 and 22°C, and it was in general sunny and partly cloudy (see Table 1 for details). In Norway, it was one heavy rain shower during the first period, and during the last period, the temperature was below 0°C. The bacterial concentration (CFU/m 3 air) at each sampling location during the different sampling periods varied from 0 to[1,000 CFU/m 3 , but the average numbers were low. In Norway, during sampling period I, II, III, the average airborne bacterial concentration was 17, 51 and 20 CFU/m 3 of air, respectively. During sampling period I in Sweden, the airborne bacterial concentration was [90 CFU/m 3 . During sampling period II, the number was lower, in general\35 CFU/m 3 . In Finland, the bacterial concentration was low, below 20 CFU/m 3 and varied between 0 and 40 CFU/m 3 . Typically, a ''peak'' of airborne bacteria was observed in the afternoon. The putative identity of the bacterial isolates included in this study was based on similar results for two of the three technologies applied in this study. Sixty-six percent of the 122 isolates were assigned to genus level, 6 % to family level, and 9 % to order level, whereas 19 % of the isolates could not be assigned to order level or higher (Table 2 ). In general, results from the air sampling performed in Norway, Sweden and Finland during the three time periods showed that the gram-positive Firmicutes were the predominant bacterial phylum identified, and identified genera were Bacillus and Staphylococcus. Species identified were S. saprophyticus, S. xylosus, S. succinius, S. cohnii, B. megaterium, B. subtilis and B. pumilus. The grampositive bacterium Micrococcus was also identified in addition to the gram-negative bacteria Proteobacteria exemplified by Acinetobacter and Pseudomonas in this study (Fig. 1) . In Norway and Finland, the dominant genera identified were the gram-positive Bacillus, Staphylococcus and Micrococcus. In Sweden, the gram-negative bacteria Acinetobacter were identified as the dominant genus in addition to in chronological order Bacillus and Staphylococcus (Fig. 2) . The airborne bacterial groups identified in Norway, Sweden and Finland was significantly different (p \ 0.05). Comparison of the diversity of the bacterial genera collected at the three different sampling periods in Norway was also significantly different ( Fig. 3) (p \ 0.05). In the first sampling period in Norway, the Bacillus genus was dominating, whereas in the second and third sampling period, the Staphylococcus was the dominant genus. In order to assess the identity/disparity of the results obtained with 16S rDNA sequencing, MALD-TOF MS combined with the MALDI Biotyper 2.0 and the MIDI MIS System, the ability of the three methods to The putative identity of the isolates is confirmed by similar results for two of the three identification methods. A total of 122 isolates have been identified by two of the three analytical methods and are therefore included in the comparison in the identify the 103 isolates was compared. A contingency table was used to investigate the different methods ability to identify the isolates. The number of isolates which the 16S sequencing, MALDI-TOF MS and MIDI MIS analysis method identified and failed to identify were counted and compared, and 83, 79 and 75 %, respectively, of the isolates were identified and assigned to order or higher taxonomic levels (Table 3) . A Chi-square test was used to compare the ability of the three methods to identify the isolates. When 16S rDNA sequencing and MALDI-TOF MS was compared, 87 % of the isolates were assigned to genus level by both methods, whereas 7 % could not be assigned to the order level or higher (Fig. 4) . A Chisquare test indicated no statistically difference (p = 0.078) between the two methods regarding their ability to identify the isolates. Comparison between 16S rDNA sequencing and MIDI MIS analysis showed that 70 % of the isolates was assigned to genus by both methods, whereas 19 % could not be assigned to the order level or higher. Statistical analysis revealed a significant difference of the two methods ability to identify the bacterial isolates (p = 0.00027). When MALDI-TOF MS and MIDI analysis was compared, 69 % of the isolates were assigned to similar genus by both methods, whereas 18 % of the isolates could not be assigned to the order level or higher. A significant difference between the two methods was identified (p = 0.031). When comparing the three different methods for taxonomic identification, 23 % of the 103 isolates were affiliated to same species of Bacillus, Micrococcus, Acinetobacter, Enterococcus and Staphylococcus. The percentage of the 103 isolates affiliated to same genus was 45 %, and the percentage affiliated to same order were 17 %, whereas 15 % were not taxonomically assigned. There are several examples of mismatches between the three methods regarding affiliation of the isolates to genus. In one case, 16S rDNA sequencing suggested Pseudomonas, whereas MALDI-TOF suggested Bacillus. Other examples of mismatches are Bacillus suggested by 16S rDNA The aim of this study was to investigate the naturally airborne bacteria at different sites on different time points and compare the ability of the three different identification technologies to identify the collected isolates. The selected locations were FFI at Kjeller, Norway, FOI in Umeå, Sweden, and PvTT in Lakiala, Finland. The selected technologies were 16S rDNA sequencing, MALDI-TOF MS and the MIDI MIS analysis. To our knowledge, this is the first time that these three methods have been compared regarding their ability to identify airborne bacterial isolates. In Norway and Finland, the gram-positive Firmicutes represented by Bacillus and Staphylococcus were dominating. However, in Sweden, the gramnegative Gammaproteobacteria Acinetobacter was dominating. Cultivation-dependent techniques typically display a high proportion of gram-positive bacterial phyla (Atlas and Bartha 1997) , and genera such as Micrococcus, Bacillus and Staphylococcus are commonly found in air samples from different sources (Mancinelli and Shulls 1978; Fang et al. 2007; Dybwad et al. 2012 Dybwad et al. , 2014 Fykse et al. 2008 ). The results obtained in this work emphasize and supports these findings. However, it is challenging to predict how representative the microbial population identified in the present study are based on cultivation, when compared to the real airborne microbial community. It is difficult to find an optimal growth medium for a wide set of viable bacteria in air samples. In this study, TSA agar was chosen based on the requirements for the MIDI MIS analysis. Using different growth media, other bacterial species might have been recovered; however, gram-positive bacteria mainly identified in Norway and Finland are commonly identified in air samples. The results described in this study only represent a set of bacteria found during the three sampling periods in the three countries and are not representing the total bacterial diversity per se at the different sampling sites. Culture methods may also suffer from methodological constrains since bacterial groups can be overestimated, exemplified by Aeromonas and Acinetobacter showing high plating efficiency on nutrient-rich agar (Amann et al. 1995) . Culture-independent methods have become important for analysis of bacterial diversity in the environment since \1 % of the bacteria in such communities is cultivable by standard laboratory methods (Amann et al. 1995) . Since the year 2000, several cultureindependent studies have been published and these studies show that the dominant-bacterial phyla differ in different locations and bacterial sequences affiliated to the gram-negative Proteobacteria are commonly found (Radosevich et al. 2002; Maron et al. 2005; Despres et al. 2007; Fierer et al. 2008) , which support the findings of Acinetobacter in Sweden during the first sampling period. A recent study where culturedependent and culture-independent methods were compared showed that the majority of the cloned sequences (60 %) from an aerosol sample were closely related to the cultured bacteria identified and sequences related to the Gammaproteobacteria, (25) The isolates were classified to order or higher. The 16S rDNA sequences were taxonomically identified by comparison with reference databases, the RDP database and the BLASTn database in NCBI Genbank. Only isolates identified using all three methods (N = 103) are included in this comparison Aerobiologia (2015) 31:271-281 277 Actinobacteria, Bacteriodetes, and Firmicutes frequently appeared (Fahlgren et al. 2010) . The Acinetobacter bacteria are widely found in nature, mostly in water and soil. However, they have also been isolated from the skin, throat, and various other sites in healthy people. Acinetobacter baumanni is often associated with hospital-acquired infections but does not typically colonize healthy people outside hospital settings (Peleg et al. 2008) . It is difficult to explain the high level of Acinetobacter isolated in Sweden compared to Norway and Finland. However, during the first experiment in Sweden, the temporal increase in the level of total bacteria showed correlation with sudden wind direction changes (results not shown). This implies that materials may have been stirred up from the ground, e.g., soil or dust particles and that the origin possibly is from a rather localized source. The area around the sampling site in Sweden can be described as a suburban area close to coniferous forest. In general, the weather conditions during the sampling periods were also similar and can hardly explain the observed differences. However, it may also be due to cultivation biases that Acinetobacter would have been overestimated (Amann et al. 1995) . The present study has increased the knowledge about the airborne bacterial background in outdoor air. The performance of a biological detector, including sensitivity and false positive/negative rate, is dependent on the sensor's operating environment such as the microbial diversity in air. False negative and positive results may occur from detection of non-pathogenic closely related species (Kuske 2006; Brodie et al. 2007 ). The gold standard identification method, 16S rDNA sequencing, was compared to the more rapid screening methods MALDI-TOF MS (Benagli et al. 2011 ) and MIDI MIS Identification System (Slabbinck et al. 2009 ). In general, all three technologies turned out to be useful methods for identification of bacterial isolates collected from air. The 16S rDNA sequencing method is time-consuming and more laborious compared to MALDI-TOF MS and MIDI analyses. MALDI-TOF MS and MIDI MIS reduce the time required for identification of bacterial isolates since sample preparation and analysis time are shorter (minutes-hours) compared to 16S rDNA sequencing, which includes PCR, sequencing of the PCR amplicons, sequence evaluation and trimming and taxonomic analysis (days). When comparing the ability of the 16S rDNA sequencing and MALDI-TOF MS to identify and assign the bacterial isolates to a taxonomic level, no significant difference between the two Fig. 4 Comparison of the ability of the three methods, 16S rDNA sequencing, MALDI-TOF MS and MIDI MIS analysis for taxonomic assignment of the airborne bacterial isolates (N = 103) to order or higher. The comparison is based on the number of isolates classified to the taxonomic levels genus, family or order using the three methods. a Comparison of 16S rDNA sequencing and MALDI-TOF MS for assignment of 97 bacterial isolates to taxonomic level. b Comparison of 16S rDNA sequencing and MIDI MIS analysis for assignment of 107 bacterial isolates to taxonomic level. c Comparison of MIDI and MALDI-TOF for assignment of 91 bacterial isolates to taxonomic level technologies appeared, and 87 % of the isolates were assigned to similar genus. This result is in agreement with the conclusion in the study of Dybwad et al. 2012 . A significant difference between the 16S rDNA sequencing and MIDI analysis was identified, and a higher percentage of the isolates were not assigned to a taxonomic level (compared to 16S rDNA sequencing and MALDI-TOF) when using the MIDI identification system. One explanation for this difference might be differences in the databases used in the various identification methods. In general, the Biotyper 2.0 used for MALDI-TOF MS have been used extensively for analysis of clinical isolates (Eigner et al. 2009; Patel 2013) , and MALDI-TOF MS is well established in clinical laboratories and is used as a high throughput rapid identification method of clinical isolates (Benagli et al. 2011) . The database used for MALDI-TOF MS analysis needs to be expanded by several environmental bacteria, which will greatly benefit the use of this method for identification of environmental isolates (Dybwad et al. 2014 ). The database used for MIDI MIS analysis is for environmental aerobic bacteria. However, an advantage of MALDI-TOF MS compared to MIDI analysis is that the culture media have no effect on the identification. The MIDI analyzes is based on fatty acid methyl ester analysis by gas chromatography, and the database used is based on the use of TSA agar (Slabbinck et al. 2009 ). The present results are in agreement with other studies showing that the MALDI-TOF MS method is comparable to the 16S rDNA sequencing method for identification of bacterial isolates (Seng et al. 2013 ). In the case of identification and classification of pathogenic and spoilage bacteria in sea food, the MALDI-TOF MS analysis demonstrated to be a competent bacterial typing tool, and in some cases, MALDI-TOF MS had more discriminating potential than 16S rDNA sequencing (Böhme et al. 2013) . In this study, MALDI-TOF MS using the Biotyper 2.0 has proven to be a fast, accurate and reliable technique for taxonomic identification of airborne bacterial isolates. These results highlight the use of MALDI-TOF as an alternative to the more costly and time-consuming gold standard method 16S rDNA sequencing for identification of cultural environmental bacteria. The MIDI method was also useful; however, the percentages of the isolates identified and classified to genus level were lower, and this method is dependent on the growth media used. In conclusion, this study, where bacterial isolates collected from air was identified, showed that the 16S rDNA sequencing and the MALDI-TOF MS analysis had similar discriminating power, whereas the MIDI method turned out to have less discriminating power in this comparison using the databases specified under the present conditions. The present studies are also important for developing realistic testing and evaluation schemes for biological detection systems by providing microbial background information that can be used to mimic operational environment in aerosol test chambers (Berchebru et al. 2014) . 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