Evaluation of a simple in-house test to presumptively differentiate Mycobacterium tuberculosis complex from nontuberculous mycobacteria by detection of p-nitrobenzoic acid metabolites

PLoS One. 2013 Nov 18;8(11):e80877. doi: 10.1371/journal.pone.0080877. eCollection 2013.

Abstract

The timely differentiation of Mycobacterium tuberculosis complex (MTC) and non-tubercular mycobacterium (NTM) species is urgently needed in patient care since the routine laboratory method is time consuming and cumbersome. An easy and cheap method which can successfully distinguish MTC from NTM was established and evaluated. 38 mycobacterial type and reference strains and 65 clinical isolates representing 10 species of mycobacterium were included in this study. Metabolites of p-nitrobenzoic acid (PNB) reduction were identified using liquid chromatography and tandem mass spectrometry (LC/MS/MS). A spectrophotometric method was developed to detect these metabolites, which was evaluated on a number of MTC and NTM species. All of the tested NTM species and strains reduced PNB to p-aminobenzoic acid (PABA), while none of the MTC strains showed a similar activity. Spectrophotometric detection of PABA had 100% sensitivity and specificity for MTC and NTM differentiation among the type strains and the clinical isolates tested. PABA was identified as one of the metabolites of PNB reduction. All the tested NTM species metabolized PNB to PABA whereas the MTC members lacked this activity. A simple, specific and cost-effective method based on PABA production was established in order to discriminate MTC from NTM from cultured organisms.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 4-Aminobenzoic Acid / analysis
  • 4-Aminobenzoic Acid / metabolism*
  • Bacterial Typing Techniques / economics
  • Bacterial Typing Techniques / methods*
  • Biotransformation
  • Chromatography, Liquid
  • Humans
  • Mycobacterium tuberculosis / isolation & purification
  • Mycobacterium tuberculosis / metabolism*
  • Nitrobenzoates / metabolism*
  • Nontuberculous Mycobacteria / isolation & purification
  • Nontuberculous Mycobacteria / metabolism*
  • Sensitivity and Specificity
  • Spectrophotometry
  • Tandem Mass Spectrometry
  • Tuberculosis / diagnosis*
  • Tuberculosis / microbiology

Substances

  • Nitrobenzoates
  • 4-nitrobenzoic acid
  • 4-Aminobenzoic Acid

Grants and funding

This project was supported by the National Natural Science Foundation of China (Grant No. 31070120). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.