ArticleFrontiers in microbiology2026
Evaluation of nucleic acid-based matrix-assisted laser desorption/ionization time-of-flight mass spectrometry for rapid identification of
Article in Frontiers in microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: This study aimed to evaluate the value of nucleic acid-based matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) in identifying mycobacterial species and detecting drug resistance in patients with retreatment pulmonary tuberculosis (TB). Methods: The clinical data of 100 patients with retreatment pulmonary TB treated at Wenzhou Central Hospital between 1 June 2022 and 31 December 2023 were retrospectively collected and analyzed. Respiratory secretions were examined using BACTEC MGIT 960 Rapid Liquid Culture (MGIT 960 culture), drug-sensitive gene chip strain identification and nucleic acid-based MALDI-TOF MS assay (MassARRAY® system). Unlike traditional protein-based MALDI-TOF MS, this nucleic acid-based approach detects specific gene mutations associated with drug resistance. The results of the MGIT 960 culture and drug resistance testing served as the benchmark for evaluating the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of the MALDI-TOF MS assay. Results: For Conclusion: The nucleic acid-based MALDI-TOF MS assay demonstrates promising performance in rapidly identifying MTB and detecting drug resistance, serving as a valuable complementary tool for rapid clinical diagnosis and personalized medication guidance in patients with retreatment TB. The detection of non-tuberculous mycobacteria requires further validation with larger sample sizes.
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