Molecular Microbiology News                       Vol.2/2018

Hot Topic:

Whole Genome Sequencing in Clinical Routine Infection Diagnosis

New Publications:

1.    Detection of Bacterial Pathogens from Broncho-Alveolar Lavage by Next-Generation Sequencing (Leo et al. 2017)

2.    Messages from the First International Conference on Clinical Metagenomics (Ruppé et al. 2017)

3.    Impact of Contaminating DNA in Whole-Genome Amplification Kits Used for Metagenomic Shotgun Sequencing for Infection Diagnosis (Thoendel et al. 2017)

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New Publications

1.    Detection of Bacterial Pathogens from Broncho-Alveolar Lavage by Next-Generation Sequencing (Leo et al. 2017)

The applications of whole-metagenome shotgun sequencing in routine clinical analysis are still limited. In this study the authors extracted DNA from broncho-alveolar lavage samples with protocols based either on sequential lysis of human and bacterial cells or on the mechanical disruption of all cells. Metagenomic libraries were sequenced on Illumina HiSeq platforms. Results were compared to those obtained by conventional clinical culture and molecular methods. Compared to mechanical cell disruption, a sequential lysis protocol resulted in a significantly increased proportion of bacterial DNA over human DNA and higher sequence coverage of bacteria reported by clinical microbiology tests.

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2.    Messages from the First International Conference on Clinical Metagenomics (Ruppé et al. 2017)

Metagenomics is recently entering clinical microbiology. An increasing number of diagnostic laboratories are proposing the sequencing and annotation of bacterial genomes and/or the analysis of clinical samples by direct or PCR-based metagenomics with short time-to-results. In this context, the first International Conference on Clinical Metagenomics (ICCMg) was held in Geneva in October 2016. Several key aspects were discussed, including, among others: the need for improved resolution, the importance of interpretation given the common occurrence of sequence contaminants and the bottleneck of DNA extraction. The authors concluded that further efforts are necessary to reduce turnaround time, improve data quality and lower costs to warrant full translation of metagenomics into clinical applications.

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3.    Impact of Contaminating DNA in Whole-Genome Amplification Kits Used for Metagenomic Shotgun Sequencing for Infection Diagnosis (Thoendel et al. 2017)

Whole-genome amplification (WGA) is a useful tool for amplification of very small quantities of DNA for many uses, including metagenomic shotgun sequencing for infection diagnosis. Depending on the application, background DNA from WGA kits can be problematic. The authors tested three WGA kits for their utility in a metagenomics approach to identify the pathogens in sonicate fluid that comprised of biofilms and other materials dislodged by sonication from the surfaces of explanted prosthetic joints. The results were then compared to those obtained with a library preparation without prior WGA using a NEBNext Ultra II paired-end kit, which requires a very small amount of input DNA. The findings highlight the impact of WGA on metagenomic analysis of low-biomass samples and the importance of careful consideration of the implications if using these tools.

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The following complementary resources are available online:

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Dear reader,

Welcome to this edition of Molecular Microbiology News. With this newsletter we want to keep you updated on the latest developments in molecular detection of microbial infections.

Best regards, Michael Lorenz, Ph. D. (Editor in Chief)

P.S.: Please forward this e-mail on to interested colleagues of yours.

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