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  1. Article ; Online: Combined bacterial and fungal targeted amplicon sequencing of respiratory samples: Does the DNA extraction method matter?

    Angebault, Cécile / Payen, Mathilde / Woerther, Paul-Louis / Rodriguez, Christophe / Botterel, Françoise

    PloS one

    2020  Volume 15, Issue 4, Page(s) e0232215

    Abstract: Background: High-throughput sequencing techniques are used to analyse the diversity of the respiratory microbiota in health and disease. Although extensive data are available regarding bacterial respiratory microbiota, its fungal component remains ... ...

    Abstract Background: High-throughput sequencing techniques are used to analyse the diversity of the respiratory microbiota in health and disease. Although extensive data are available regarding bacterial respiratory microbiota, its fungal component remains poorly studied. This is partly due to the technical issues associated with fungal metagenomics analyses. In this study, we compared two DNA extraction protocols and two fungal amplification targets for combined bacterial and fungal targeted amplicon sequencing analyses of the respiratory microbiota.
    Methods: Six sputa, randomly selected from routine samples in Mondor Hospital (Creteil, France) and treated anonymously, were tested after bacterial and fungal routine culture. Two of which were spiked with Aspergillus Fumigati and Aspergillus Nigri (105 conidia/mL). After mechanical lysis, DNA was extracted using automated QIAsymphony® extraction (AQE) or manual PowerSoil® MoBio extraction (MPE). DNA yield and purity were compared. DNA extracted from spiked sputa was subjected to (i) real-time PCR for Aspergillus DNA detection and (ii) combined metagenomic analyses targeting barcoded primers for fungal ITS1 and ITS2, and bacterial V1-V2 and V3-V4 16S regions. Amplicon libraries were prepared using MiSeq Reagent V3 kit on Illumina platform. Data were analysed using PyroMIC© and SHAMAN software, and compared with culture results.
    Results: AQE extraction provided a higher yield of DNA (AQE/MPE DNA ratio = 4.5 [1.3-11]) in a shorter time. The yield of Aspergillus DNA detected by qPCR was similar for spiked sputa regardless of extraction protocol. The extraction moderately impacted the diversity or relative abundances of bacterial communities using targeted amplicon sequencing (2/43 taxa impacted). For fungi, the relative abundances of 4/11 major taxa were impacted and AQE results were closer to culture results. The V1-V2 or V3-V4 and ITS1 or ITS2 targets assessed similarly the diversity of bacterial and fungal major taxa, but ITS2 and V3-V4 detected more minor taxa.
    Conclusion: Our results showed the importance of DNA extraction for combined bacterial and fungal targeted metagenomics of respiratory samples. The extraction protocol can affect DNA yield and the relative abundances of few bacterial but more fungal taxa. For fungal analysis, ITS2 allowed the detection of a greater number of minor taxa compared with ITS1.
    MeSH term(s) Bacteria/classification ; Bacteria/genetics ; Bacteria/isolation & purification ; Biodiversity ; DNA, Bacterial/genetics ; DNA, Bacterial/isolation & purification ; DNA, Fungal/genetics ; DNA, Fungal/isolation & purification ; France ; Fungi/classification ; Fungi/genetics ; Fungi/isolation & purification ; High-Throughput Nucleotide Sequencing/methods ; Humans ; Metagenomics/methods ; Microbiota/genetics ; Real-Time Polymerase Chain Reaction ; Respiratory System/microbiology ; Sequence Analysis, DNA/methods ; Sputum/microbiology
    Chemical Substances DNA, Bacterial ; DNA, Fungal
    Language English
    Publishing date 2020-04-28
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0232215
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  2. Article ; Online: Azole Resistance in Clinical and Environmental

    Monpierre, Lorra / Desbois-Nogard, Nicole / Valsecchi, Isabel / Bajal, Marielle / Angebault, Cécile / Miossec, Charline / Botterel, Françoise / Dannaoui, Éric

    Journal of fungi (Basel, Switzerland)

    2021  Volume 7, Issue 5

    Abstract: The emergence of azole ... ...

    Abstract The emergence of azole resistant
    Language English
    Publishing date 2021-04-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2784229-0
    ISSN 2309-608X ; 2309-608X
    ISSN (online) 2309-608X
    ISSN 2309-608X
    DOI 10.3390/jof7050355
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  3. Article ; Online: Case Report: Cerebral Nocardiosis Caused by

    Courbin, Virginie / Riller, Quentin / Amegnizin, Jean-Louis / Gricourt, Guillaume / Demontant, Vanessa / Fihman, Vincent / Angebault, Cecile / Mahevas, Matthieu / Gaube, Géraldine / Coutte, Laëtitia / Pawlotsky, Jean-Michel / Lepeule, Raphaël / Rodriguez, Christophe / Woerther, Paul-Louis

    Frontiers in immunology

    2022  Volume 13, Page(s) 719124

    Abstract: We report a case of meningoencephalitis due ... ...

    Abstract We report a case of meningoencephalitis due to
    MeSH term(s) Acquired Immunodeficiency Syndrome/complications ; Acquired Immunodeficiency Syndrome/diagnosis ; Aged ; Anti-Bacterial Agents/therapeutic use ; Humans ; Magnetic Resonance Imaging ; Male ; Metagenomics ; Nocardia/genetics ; Nocardia Infections/diagnosis ; Nocardia Infections/drug therapy ; Tomography, X-Ray Computed
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2022-02-03
    Publishing country Switzerland
    Document type Case Reports ; Research Support, Non-U.S. Gov't
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2022.719124
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  4. Article ; Online: Evaluation of the Bio-Evolution Microsporidia generic and typing real-time PCR assays for the diagnosis of intestinal microsporidiosis.

    Moniot, Maxime / Nourrisson, Céline / Bonnin, Virginie / Damiani, Céline / Argy, Nicolas / Bonhomme, Julie / Fréalle, Emilie / Angebault, Cécile / Debourgogne, Anne / Sitterlé, Emilie / Flori, Pierre / Brunet, Julie / Dalle, Frédéric / Favennec, Loïc / Poirier, Philippe

    Parasite (Paris, France)

    2022  Volume 29, Page(s) 55

    Abstract: Cases of intestinal microsporidiosis infection are underestimated and affect both immunocompromized and immunocompetent patients. Real-time PCR is superseding microscopic examination for its diagnosis in medical analysis laboratories. However, few ... ...

    Title translation Évaluation des tests de PCR en temps réel Bio-Evolution Microsporidia generic et typing pour le diagnostic de la microsporidiose intestinale.
    Abstract Cases of intestinal microsporidiosis infection are underestimated and affect both immunocompromized and immunocompetent patients. Real-time PCR is superseding microscopic examination for its diagnosis in medical analysis laboratories. However, few manufacturers include microsporidia in their PCR panel for the diagnosis of infectious gastroenteritis. Here, we evaluated the performances of the real-time PCR assays microsporidia generic and microsporidia typing (Bio-Evolution, France) on the Rotor-Gene Q real-time PCR cycler (Qiagen, France). We included 45 negative and 44 positive stool samples for Enterocytozoon bieneusi (n = 34, with various genotypes), Encephalitozoon intestinalis (n = 4), Encephalitozoon hellem (n = 4), and Encephalitozoon cuniculi (n = 2). We also studied a four-year survey of an inter-laboratory quality control program including 9 centers that used this commercial assay. Sensitivity and specificity of the microsporidia generic assay were 86.4% and 93.3%, respectively. Encephalitozoon hellem and Encephalitozoon cuniculi were detected by the microsporidia generic PCR assay but not by the microsporidia typing PCR assay. These results were consistent with the results of the inter-laboratory quality control program. In conclusion, Bio-Evolution Real-time PCR assays are useful tools for intestinal microsporidiosis, but negative results for microsporidia typing assays require supplementary analyses to confirm E. hellem or E. cuniculi infections.
    MeSH term(s) Humans ; Microsporidia/genetics ; Real-Time Polymerase Chain Reaction ; Microsporidiosis/diagnosis ; Enterocytozoon/genetics
    Language English
    Publishing date 2022-11-25
    Publishing country France
    Document type Journal Article
    ZDB-ID 1187629-3
    ISSN 1776-1042 ; 1252-607X
    ISSN (online) 1776-1042
    ISSN 1252-607X
    DOI 10.1051/parasite/2022055
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  5. Article ; Online: Diagnosis of mucormycosis using an intercalating dye-based quantitative PCR.

    Bigot, Jeanne / Godmer, Alexandre / Prudenté, Lysa / Angebault, Cécile / Brissot, Eolia / Bige, Naike / Voiriot, Guillaume / Leger, Pierre-Louis / Petit-Hoang, Camille / Atallah, Sarah / Gouache, Elodie / Senghor, Yaye / Valot, Stéphane / Hennequin, Christophe / Guitard, Juliette

    Medical mycology

    2022  Volume 60, Issue 4

    Abstract: PCR-based methods applied to various body fluids emerged in recent years as a promising approach for the diagnosis of mucormycosis. In this study, we set up and assess the value of a qPCR to detect a wide variety of Mucorales species in a single tube. A ... ...

    Abstract PCR-based methods applied to various body fluids emerged in recent years as a promising approach for the diagnosis of mucormycosis. In this study, we set up and assess the value of a qPCR to detect a wide variety of Mucorales species in a single tube. A pair of degenerated primers targeting the rDNA operon was used in a qPCR utilizing an intercalating fluorescent dye. Analytical assessment, using a wide variety of both Mucorales strains (8 genera, 11 species) and non-Mucorales strains (9 genera, 14 species), showed 100% sensitivity and specificity rates with a limit of detection at 3 rDNA copy/qPCR reaction. Subsequently, 364 clinical specimens from 166 at-risk patients were prospectively tested with the assay. All the seven patients classified as proven/probable mucormycosis using the EORTC-MSG criteria had a positive qPCR as well as a patient with a proven uncharacterized invasive mold infection. In addition, three out of seven patients with possible mold invasive infections had at least one positive qPCR test. Sensitivity was calculated between 73.33 and 100% and specificity between 98.10 and 100%. The qPCR method proposed showed excellent performances and would be an important adjunctive tool for the difficult diagnosis of mucormycosis diagnosis.
    Lay abstract: qPCR-based diagnosis is the most reliable approach for mucormycosis. We set up a pan-Mucorales qPCR able to detect in a single reaction not less than 11 different species. Both analytical and clinical performances support its use in the clinical setting.
    MeSH term(s) Animals ; DNA Primers ; DNA, Fungal/genetics ; Mucorales/genetics ; Mucormycosis/diagnosis ; Mucormycosis/veterinary ; Real-Time Polymerase Chain Reaction/veterinary
    Chemical Substances DNA Primers ; DNA, Fungal
    Language English
    Publishing date 2022-03-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 1421796-x
    ISSN 1460-2709 ; 1369-3786
    ISSN (online) 1460-2709
    ISSN 1369-3786
    DOI 10.1093/mmy/myac015
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  6. Article ; Online: Detection of circulating DNA for the diagnosis of invasive fusariosis: retrospective analysis of 15 proven cases.

    Dellière, Sarah / Guitard, Juliette / Sabou, Marcela / Angebault, Cécile / Moniot, Maxime / Cornu, Marjorie / Hamane, Samia / Bougnoux, Marie-Elisabeth / Imbert, Sébastien / Pasquier, Grégoire / Botterel, Françoise / Garcia-Hermoso, Dea / Alanio, Alexandre

    Medical mycology

    2022  Volume 60, Issue 9

    Abstract: Fusarium spp. are plant pathogens and opportunistic pathogens in severely immunocompromised (hematological malignancy, neutropenia, solid organ transplantation, etc.) and severely burned patients. Invasive fusariosis often disseminates and mortality ... ...

    Abstract Fusarium spp. are plant pathogens and opportunistic pathogens in severely immunocompromised (hematological malignancy, neutropenia, solid organ transplantation, etc.) and severely burned patients. Invasive fusariosis often disseminates and mortality remains high partly due to delayed diagnosis in the absence of a positive culture. The aim of our study is to design a quantitative PCR (qPCR) assay and evaluate the detection of Fusarium spp. DNA for early diagnosis of invasive infection. A qPCR assay was designed and optimized to identify all Fusarium species complex and secondarily evaluated on patient samples. A total of 81 blood samples from 15 patients diagnosed with proven invasive fusariosis from 9 centers in France were retrospectively tested. Circulating DNA was detected in 14 patients out of 15 (sensitivity of 93% [95% Confidence Interval (CI95), 70.1-99.7]). Detection was possible up to 18 days (median 6 days) before the diagnosis was confirmed by positive blood culture or biopsy. By comparison serum galactomannan and ß-D-glucan were positive in 7.1 and 58.3% of patients respectively. qPCR was negative for all patients with other invasive fungal diseases (IFD) tested (n = 12) and IFD-free control patients (n = 40). No cross-reactions were detected using DNA extracted from 81 other opportunistic fungi. We developed and validated a pan-Fusarium qPCR assay in serum/plasma with high sensitivity, specificity, and reproducibility that could facilitate early diagnosis and treatment monitoring of invasive fusariosis.
    Lay abstract: Fusariosis ranks third among invasive mould infections. It is frequently diagnosed late due to the lack of specific tools. We designed and evaluated a new qPCR assay with high sensitivity and specificity allowing detection of Fusarium DNA in serum samples up to 18 days before conventional diagnosis.
    MeSH term(s) Animals ; Antifungal Agents/therapeutic use ; Cell-Free Nucleic Acids ; Fusariosis/microbiology ; Fusariosis/veterinary ; Fusarium/genetics ; Invasive Fungal Infections/diagnosis ; Invasive Fungal Infections/drug therapy ; Invasive Fungal Infections/veterinary ; Reproducibility of Results ; Retrospective Studies
    Chemical Substances Antifungal Agents ; Cell-Free Nucleic Acids
    Language English
    Publishing date 2022-08-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 1421796-x
    ISSN 1460-2709 ; 1369-3786
    ISSN (online) 1460-2709
    ISSN 1369-3786
    DOI 10.1093/mmy/myac049
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  7. Article: Concomitant Presence of

    Dellière, Sarah / Angebault, Cécile / Fihman, Vincent / Foulet, Françoise / Lepeule, Raphaël / Maitre, Bernard / Schlemmer, Frédéric / Botterel, Françoise

    Frontiers in microbiology

    2020  Volume 10, Page(s) 2980

    Abstract: Objectives: Aspergillus: Methods: A retrospective monocentric study was conducted from January 2011 to December 2017, including all in-patients from whom positive cultures of : Results: Overall, 140 patients had ≥1 respiratory samples positive for ...

    Abstract Objectives: Aspergillus
    Methods: A retrospective monocentric study was conducted from January 2011 to December 2017, including all in-patients from whom positive cultures of
    Results: Overall, 140 patients had ≥1 respiratory samples positive for
    Conclusion: In this first study focusing on co-isolation of
    Language English
    Publishing date 2020-01-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2587354-4
    ISSN 1664-302X
    ISSN 1664-302X
    DOI 10.3389/fmicb.2019.02980
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  8. Article ; Online: Combined bacterial and fungal intestinal microbiota analyses: Impact of storage conditions and DNA extraction protocols.

    Angebault, Cécile / Ghozlane, Amine / Volant, Stevenn / Botterel, Françoise / d'Enfert, Christophe / Bougnoux, Marie-Elisabeth

    PloS one

    2018  Volume 13, Issue 8, Page(s) e0201174

    Abstract: Background: The human intestinal microbiota contains a vast community of microorganisms increasingly studied using high-throughput DNA sequencing. Standardized protocols for storage and DNA extraction from fecal samples have been established mostly for ... ...

    Abstract Background: The human intestinal microbiota contains a vast community of microorganisms increasingly studied using high-throughput DNA sequencing. Standardized protocols for storage and DNA extraction from fecal samples have been established mostly for bacterial microbiota analysis. Here, we investigated the impact of storage and DNA extraction on bacterial and fungal community structures detected concomitantly.
    Methods: Fecal samples from healthy adults were stored at -80°C as such or diluted in RNAlater® and subjected to 2 extraction protocols with mechanical lysis: the Powersoil® MoBio kit or the International Human Microbiota Standard (IHMS) Protocol Q. Libraries of the 12 samples targeting the V3-V4 16S and the ITS1 regions were prepared using Metabiote® (Genoscreen) and sequenced on GS-FLX-454. Sequencing data were analysed using SHAMAN (http://shaman.pasteur.fr/). The bacterial and fungal microbiota were compared in terms of diversity and relative abundance.
    Results: We obtained 171869 and 199089 quality-controlled reads for 16S and ITS, respectively. All 16S reads were assigned to 41 bacterial genera; only 52% of ITS reads were assigned to 40 fungal genera/section. Rarefaction curves were satisfactory in 3/3 and 2/3 subjects for 16S and ITS, respectively. PCoA showed important inter-individual variability of intestinal microbiota largely overweighing the effect of storage or extraction. Storage in RNAlater® impacted (downward trend) the relative abundances of 7/41 bacterial and 6/40 fungal taxa, while extraction impacted randomly 18/41 bacterial taxa and 1/40 fungal taxon.
    Conclusion: Our results showed that RNAlater® moderately impacts bacterial or fungal community structures, while extraction significantly influences the bacterial composition. For combined bacterial and fungal intestinal microbiota analysis, immediate sample freezing should be preferred when feasible, but storage in RNAlater® remains an option under unfavourable conditions or for concomitant metatranscriptomic analysis; and extraction should rely on protocols validated for bacterial analysis, such as IHMS Protocol Q, and including a powerful mechanical lysis, essential for fungal extraction.
    MeSH term(s) Adult ; Biodiversity ; DNA, Bacterial/genetics ; DNA, Bacterial/isolation & purification ; DNA, Fungal/genetics ; DNA, Fungal/isolation & purification ; Feces/microbiology ; Female ; Gastrointestinal Microbiome/genetics ; Humans ; Male ; Microbial Consortia/genetics ; Microbiological Techniques ; Middle Aged ; Mycobiome/genetics
    Chemical Substances DNA, Bacterial ; DNA, Fungal
    Language English
    Publishing date 2018-08-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0201174
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  9. Article ; Online: Analysis of Microbiota and Mycobiota in Fungal Ball Rhinosinusitis: Specific Interaction between

    Dellière, Sarah / Dannaoui, Eric / Fieux, Maxime / Bonfils, Pierre / Gricourt, Guillaume / Demontant, Vanessa / Podglajen, Isabelle / Woerther, Paul-Louis / Angebault, Cécile / Botterel, Françoise

    Journal of fungi (Basel, Switzerland)

    2021  Volume 7, Issue 7

    Abstract: Fungal ball (FB) rhinosinusitis (RS) is the main type of non-invasive fungal RS. Despite positive direct examination (DE) of biopsies, culture remains negative in more than 60% of cases. The aim of the study was to evaluate the performance/efficacy of ... ...

    Abstract Fungal ball (FB) rhinosinusitis (RS) is the main type of non-invasive fungal RS. Despite positive direct examination (DE) of biopsies, culture remains negative in more than 60% of cases. The aim of the study was to evaluate the performance/efficacy of targeted metagenomics (TM) to analyze microbiota and mycobiota in FB and find microbial associations. Forty-five sinus biopsies from patients who underwent surgery for chronic RS were included. After DE and culture, DNA was extracted, then fungal ITS1-ITS2 and bacterial V3-V4 16S rDNA loci were sequenced (MiSeq
    Language English
    Publishing date 2021-07-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2784229-0
    ISSN 2309-608X ; 2309-608X
    ISSN (online) 2309-608X
    ISSN 2309-608X
    DOI 10.3390/jof7070550
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  10. Article ; Online: The Potential Role of Clinical Metagenomics in Infectious Diseases: Therapeutic Perspectives.

    d'Humières, Camille / Salmona, Maud / Dellière, Sarah / Leo, Stefano / Rodriguez, Christophe / Angebault, Cécile / Alanio, Alexandre / Fourati, Slim / Lazarevic, Vladimir / Woerther, Paul-Louis / Schrenzel, Jacques / Ruppé, Etienne

    Drugs

    2021  Volume 81, Issue 13, Page(s) 1453–1466

    Abstract: Clinical metagenomics (CMg) is the process of sequencing nucleic acid of clinical samples to obtain clinically relevant information such as the identification of microorganisms and their susceptibility to antimicrobials. Over the last decades, sequencing ...

    Abstract Clinical metagenomics (CMg) is the process of sequencing nucleic acid of clinical samples to obtain clinically relevant information such as the identification of microorganisms and their susceptibility to antimicrobials. Over the last decades, sequencing and bioinformatic solutions supporting CMg have much evolved and an increasing number of case reports and series covering various infectious diseases have been published. Metagenomics is a new approach to infectious disease diagnosis that is currently being developed and is certainly one of the most promising for the coming years. However, most CMg studies are retrospective, and few address the potential impact CMg could have on patient management, including initiation, adaptation, or cessation of antimicrobials. In this narrative review, we have discussed the potential role of CMg in bacteriology, virology, mycology, and parasitology. Several reports and case-series confirm that CMg is an innovative tool with which one can (i) identify more microorganisms than with conventional methods in a single test, (ii) obtain results within hours, and (iii) tailor the antimicrobial regimen of patients. However, the cost-efficiency of CMg and its real impact on patient management are still to be determined.
    MeSH term(s) Anti-Infective Agents/therapeutic use ; Communicable Diseases/diagnosis ; Communicable Diseases/drug therapy ; Communicable Diseases/microbiology ; Computational Biology/methods ; Humans ; Metagenomics/methods ; Nucleic Acid Amplification Techniques
    Chemical Substances Anti-Infective Agents
    Language English
    Publishing date 2021-07-30
    Publishing country New Zealand
    Document type Journal Article ; Systematic Review
    ZDB-ID 120316-2
    ISSN 1179-1950 ; 0012-6667
    ISSN (online) 1179-1950
    ISSN 0012-6667
    DOI 10.1007/s40265-021-01572-4
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