PMID- 36658630 OWN - NLM STAT- MEDLINE DCOM- 20230123 LR - 20230123 IS - 1756-3305 (Electronic) IS - 1756-3305 (Linking) VI - 16 IP - 1 DP - 2023 Jan 19 TI - Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry for differential identification of adult Schistosoma worms. PG - 20 LID - 10.1186/s13071-022-05604-0 [doi] LID - 20 AB - BACKGROUND: Schistosomiasis is a major neglected tropical disease that affects up to 250 million individuals worldwide. The diagnosis of human schistosomiasis is mainly based on the microscopic detection of the parasite's eggs in the feces (i.e., for Schistosoma mansoni or Schistosoma japonicum) or urine (i.e., for Schistosoma haematobium) samples. However, these techniques have limited sensitivity, and microscopic expertise is waning outside endemic areas. Matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry (MS) has become the gold standard diagnostic method for the identification of bacteria and fungi in many microbiological laboratories. Preliminary studies have recently shown promising results for parasite identification using this method. The aims of this study were to develop and validate a species-specific database for adult Schistosoma identification, and to evaluate the effects of different storage solutions (ethanol and RNAlater) on spectra profiles. METHODS: Adult worms (males and females) of S. mansoni and S. japonicum were obtained from experimentally infected mice. Species identification was carried out morphologically and by cytochrome oxidase 1 gene sequencing. Reference protein spectra for the creation of an in-house MALDI-TOF MS database were generated, and the database evaluated using new samples. We employed unsupervised (principal component analysis) and supervised (support vector machine, k-nearest neighbor, Random Forest, and partial least squares discriminant analysis) machine learning algorithms for the identification and differentiation of the Schistosoma species. RESULTS: All the spectra were correctly identified by internal validation. For external validation, 58 new Schistosoma samples were analyzed, of which 100% (58/58) were correctly identified to genus level (log score values >/= 1.7) and 81% (47/58) were reliably identified to species level (log score values >/= 2). The spectra profiles showed some differences depending on the storage solution used. All the machine learning algorithms classified the samples correctly. CONCLUSIONS: MALDI-TOF MS can reliably distinguish adult S. mansoni from S. japonicum. CI - (c) 2022. The Author(s). FAU - Ebersbach, Jurena Christiane AU - Ebersbach JC AD - Institute of Medical Microbiology and Hygiene, Saarland University, Homburg, Germany. FAU - Sato, Marcello Otake AU - Sato MO AD - Laboratory of Tropical Medicine and Parasitology, Dokkyo Medical University, Mibu, Tochigi, Japan. FAU - de Araujo, Matheus Pereira AU - de Araujo MP AD - Laboratory of Tropical Medicine and Parasitology, Dokkyo Medical University, Mibu, Tochigi, Japan. FAU - Sato, Megumi AU - Sato M AD - Graduate School of Health Sciences, Niigata University, Niigata, Japan. FAU - Becker, Soren L AU - Becker SL AD - Institute of Medical Microbiology and Hygiene, Saarland University, Homburg, Germany. AD - Swiss Tropical and Public Health Institute, Allschwil, Switzerland. AD - University of Basel, Basel, Switzerland. FAU - Sy, Issa AU - Sy I AD - Institute of Medical Microbiology and Hygiene, Saarland University, Homburg, Germany. issa.sy@uks.eu. LA - eng PT - Journal Article DEP - 20230119 PL - England TA - Parasit Vectors JT - Parasites & vectors JID - 101462774 SB - IM MH - Female MH - Adult MH - Humans MH - Animals MH - Mice MH - *Fungi/chemistry MH - Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization/methods MH - *Schistosoma japonicum MH - Bacteria MH - Lasers PMC - PMC9854196 OTO - NOTNLM OT - Helminth OT - Identification OT - Machine learning OT - Matrix-assisted laser desorption/ionization-time of flight mass spectrometry OT - Schistosoma japonicum OT - Schistosoma mansoni OT - Storage media OT - Trematode COIS- The authors declare no competing interests. EDAT- 2023/01/20 06:00 MHDA- 2023/01/24 06:00 PMCR- 2023/01/19 CRDT- 2023/01/19 23:50 PHST- 2022/09/23 00:00 [received] PHST- 2022/11/30 00:00 [accepted] PHST- 2023/01/19 23:50 [entrez] PHST- 2023/01/20 06:00 [pubmed] PHST- 2023/01/24 06:00 [medline] PHST- 2023/01/19 00:00 [pmc-release] AID - 10.1186/s13071-022-05604-0 [pii] AID - 5604 [pii] AID - 10.1186/s13071-022-05604-0 [doi] PST - epublish SO - Parasit Vectors. 2023 Jan 19;16(1):20. doi: 10.1186/s13071-022-05604-0.