4.7 Article

DNA extraction of microbial DNA directly from infected tissue: an optimized protocol for use in nanopore sequencing

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SCIENTIFIC REPORTS
卷 10, 期 1, 页码 -

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NATURE PUBLISHING GROUP
DOI: 10.1038/s41598-020-59957-6

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  1. Norwegian Surveillance Program for Antimicrobial Resistance [NORM 16_03]
  2. Akershus University Hospital [267923]

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Identification of bacteria causing tissue infections can be comprehensive and, in the cases of non- or slow-growing bacteria, near impossible with conventional methods. Performing shotgun metagenomic sequencing on bacterial DNA extracted directly from the infected tissue may improve time to diagnosis and targeted treatment considerably. However, infected tissue consists mainly of human DNA (hDNA) which hampers bacterial identification. In this proof of concept study, we present a modified version of the Ultra-Deep Microbiome Prep kit for DNA extraction procedure, removing additional human DNA. Tissue biopsies from 3 patients with orthopedic implant-related infections containing varying degrees of Staphylococcus aureus were included. Subsequent DNA shotgun metagenomic sequencing using Oxford Nanopore Technologies' (ONT) MinION platform and ONTs EPI2ME WIMP and ARMA bioinformatic workflows for microbe and antibiotic resistance genes identification, respectively. The modified DNA extraction protocol led to an additional similar to 10-fold reduction of human DNA while preserving S. aureus DNA. Including the DNA sequencing and bioinformatics analyses, the presented protocol has the potential of identifying the infection-causing pathogen in infected tissue within 7hours after biopsy. However, due to low number of S. aureus reads, positive identification of antibiotic resistance genes was not possible.

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