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N O IN R
M ES CT AU
Antoine Huguenin
D
E &
Laboratoire de
P
S GS
N
Parasitologie Mycologie
Bref historique
-2000: Premires description cliniques de
myctomes (Atharvaveda)
1829: Champignon impliqu dans le favus
(Schnlein)
1876: R.Koch, bactrie responsible de
lanthrax
1881: R. Koch premier milieu de culture
1884: Coloration de GRAM
1977: Sanger squenage
1986-1988: premiers squenages de lADN
16S
1987 Premier automate de squenage
1988: Tanaka dcrit le principe du MALDI-TOF
Le Saint-Graal de lidentification
En cas dattaque bioterroriste:
Identification RAPIDE (<24h) => pas
dtape de culture
Dtection SIMULTANEE de plusieurs
pathognes bactriens, viraux ou fongiques
Systme didentification TRANSPORTABLE
Detection des facteurs de
virulence/rsistances: SOUCHES
LETHALISES
Dtection de NOUVELLES SOUCHES
6
PCR/ESI-TOF
IBIS T5000 Biosensor (2006) Coopration
DARPA/Brker
PLEX-ID (2009)
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PLEX-ID (2009)
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PLEX-ID (2009)
Broad Fungal Kit
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MALDI-TOF vs ESI
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Lavigne J-P, Espinal P, Dunyach-Remy C, Messad N, Pantel A, Sotto A. Mass
spectrometry: a revolution in clinical microbiology? Clinical Chemistry and
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15
Ranque S, Normand A-C, Cassagne C, Murat J-B, Bourgeois N, Dalle F, et al. MALDI-TOF
mass spectrometry identification of filamentous fungi in the clinical laboratory. Mycoses.
16
Normand A-C, Cassagne C, Ranque S, L'Ollivier C, Fourquet P, Roesems S, et al. Assessment
of various parameters to improve MALDI-TOF MS reference spectra libraries constructed for
the routine identification of filamentous fungi. BMC Microbiol. BioMed Central Ltd; 2012 Dec
17
MS dans un laboratoire de
microbiologie
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Fournier P-E, Drancourt M, Colson P, Rolain J-M, La Scola B, Raoult D. Modern clinical
microbiology: new challenges and solutions. Nature Microbiology Review; 2013 Aug
19
Squenage classique
Echantillon
Echantillon
Extraction
Extraction ADN
ADN
PCR:
PCR: amplification
amplification
dune
dune rgion
rgion
spcifique
spcifique
Squenage
Squenage
5 ATGTGCCCGATTATAT 3
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Identification
Identification par
par
BLAST
BLAST
NGS
Echantillon
Echantillon
clinique
clinique
Extraction
Extraction ADN
ADN
Fragmentation
Prparation
Prparation
librairie
librairie
Amplification
Amplification de
de la
la
librairie
librairie
Squenage
Squenage
Analyse
Analyse des
des
donnes
donnes
PCR emulsion
Adaptateur de
ligation/ code
barre
Gnration
de cluster
Ligation
Pyrosquenag
e
Semiconducteur
TCAGTGATTATGGTAAACGTTTCAATTGGTGTGTACCTTTTAAGTCTTGGTGTTTTCCC
ATTGTGGTGGT
CTTCTCTATCCGAGCTAGAGGGCAGAAGAACTACTTACATAACTTCATTTGCATTATTG
TTTGCATTTAA
TATCGGGTCTGCTCTAGCTCCTGATATCAACTCATTTATTGCCTTGAGAATGCTCTGT
GGGGCTGCTTCT
GCCAGTGTTCAAAGTGTAGGTGCTGGAACAGTGGCTGATTTATATATTAGCGAAGAT
AGAGGTAAAAATT
TGAGTTATTACTATTTGGGTCCACTACTGGCGCCGCTACTATCTCCAATTTTTGGATCT
TTGTTAGTGAA
TCGCTGGCCCTGGAGATCCACTCAATGGTTTATGGTTATTTTATCCGGATGTAATGTC
ATTCTTTTGACG
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NGS Illumina
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NGS Illumina
Prparation de la bibliothque: ADN simple brin,
avec adaptateurs de ligation
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NGS Illumina
Ligation et synthse du brin complmentaire
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NGS Illumina
Dnaturation des fragments doubles brins
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NGS Illumina
La librairie est prte !
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NGS Illuma
Squenage : amplified
single molecule
sequencing
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Millions de pixels,
convertissant la lumire en
information digitale
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32
33
34
Load chip
Incorporate
nucleotide
An ion-sensitive layer
beneath the well
measures that pH
change and converts it
to voltage
This voltage change is
recorded, indicating
the nucleotide has
been incorporated and
the
base is called
This process happens
simultaneously in
35
NGS: Applications en
myco
Origines de lpidmie?
Modifications gntiques lorigine de la
virulence?
Engelthaler DM, Hicks ND, Gillece JD, Roe CC, Schupp JM, Driebe EM, et al.
Cryptococcus gattii in North American Pacific Northwest: Whole-Population Genome
Analysis Provides Insights into Species Evolution and Dispersal. mBio. 2014 Jul
36
NGS: Applications
Squenage
gnome complet
118 souches
(Illumina)
37
Engelthaler DM, Hicks ND, Gillece JD, Roe CC, Schupp JM, Driebe EM, et al.
Cryptococcus gattii in North American Pacific Northwest: Whole-Population Genome
Analysis Provides Insights into Species Evolution and Dispersal. mBio. 2014 Jul
NGS: Applications
Souche VGIIA sud amricaines et nordamricaines trs
proches
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NGS: Applications
Souche VGIIC nord-amricaines trs homognes
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NGS: Applications
Origine sudamricaine des
VGIIC nordamricaines?
40
Engelthaler DM, Hicks ND, Gillece JD, Roe CC, Schupp JM, Driebe EM, et al.
Cryptococcus gattii in North American Pacific Northwest: Whole-Population Genome
Analysis Provides Insights into Species Evolution and Dispersal. mBio. 2014 Jul
NGS: Applications
Gne de
virulence?
Variant VGIIA
expression +++ des
gnes du cluster 3.
Contient
collagnase =>
facteur de virulence
pulmonaire? (idem
aspergillus)
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Et maintenant LE
BIOFIRE
Par Hlne
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