<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2017.01492</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Use of MALDI-TOF Mass Spectrometry for the Fast Identification of Gram-Positive Fish Pathogens</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Assis</surname> <given-names>Gabriella B. N.</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/462976/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Pereira</surname> <given-names>Felipe L.</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/464617/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Zegarra</surname> <given-names>Alexandra U.</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/465001/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Tavares</surname> <given-names>Guilherme C.</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/441129/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Leal</surname> <given-names>Carlos A.</given-names></name>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Figueiredo</surname> <given-names>Henrique C. P.</given-names></name>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/133991/overview"/>
</contrib>
</contrib-group>
<aff><institution>AQUACEN, National Reference Laboratory for Aquatic Animal Diseases, Ministry of Agriculture, Livestock and Food Supply, Federal University of Minas Gerais</institution> <country>Belo Horizonte, Brazil</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Peter R. Girguis, Harvard University, United States</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Jorge Reinheimer, National University of the Littoral, Argentina; Akira Hishinuma, Dokkyo Medical University, Japan</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Henrique C. P. Figueiredo <email>figueiredoh&#x00040;yahoo.com</email></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to Aquatic Microbiology, a section of the journal Frontiers in Microbiology</p></fn></author-notes>
<pub-date pub-type="epub">
<day>09</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>8</volume>
<elocation-id>1492</elocation-id>
<history>
<date date-type="received">
<day>17</day>
<month>05</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>07</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017 Assis, Pereira, Zegarra, Tavares, Leal and Figueiredo.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Assis, Pereira, Zegarra, Tavares, Leal and Figueiredo</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Gram-positive cocci, such as <italic>Streptococcus agalactiae, Lactococcus garvieae, Streptococcus iniae</italic>, and <italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic>, are found throughout the world, particularly in outbreaks in farmed fish, and are thus associated with high economic losses, especially in the cultivation of Nile Tilapia. The aim of this study was to evaluate the efficacy of matrix-assisted laser desorption ionization (MALDI)-time of flight (TOF) mass spectrometry (MS) as an alternative for the diagnosis of these pathogens. One hundred and thirty-one isolates from Brazilian outbreaks assisted by the national authority were identified using a MALDI Biotyper from Bruker Daltonics. The results showed an agreement with respect to identification (Kappa &#x0003D; 1) between this technique and 16S ribosomal RNA gene sequencing for <italic>S. agalactiae</italic> and <italic>L. garvieae</italic>. However, for <italic>S. iniae</italic> and <italic>S. dysgalactiae</italic> subsp. <italic>dysgalactiae</italic>, perfect agreement was only achieved after the creation of a custom main spectra profile, as well as further comparisons with 16S ribosomal RNA and multilocus sequence analysis. MALDI-TOF MS was shown to be an efficient technology for the identification of these Gram-positive pathogens, yielding a quick and precise diagnosis.</p>
</abstract>
<kwd-group>
<kwd>MALDI-TOF MS</kwd>
<kwd><italic>S. agalactiae</italic></kwd>
<kwd><italic>S. iniae</italic></kwd>
<kwd><italic>S. dysgalactiae</italic> subsp. <italic>dysgalactiae</italic></kwd>
<kwd><italic>Lactococcus garvieae</italic></kwd>
</kwd-group>
<counts>
<fig-count count="4"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="50"/>
<page-count count="12"/>
<word-count count="7573"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p>Gram-positive cocci infections pose a great threat to farmed fish worldwide (Evans et al., <xref ref-type="bibr" rid="B13">2002</xref>; Agnew and Barnes, <xref ref-type="bibr" rid="B2">2007</xref>; Abdelsalam et al., <xref ref-type="bibr" rid="B1">2013</xref>) and especially impact warm water systems used for the cultivation of Nile tilapia, one of the major commodities of global aquaculture (FAO, <xref ref-type="bibr" rid="B15">2016</xref>). Four pathogens that are highly associated with outbreaks in fish farms are <italic>Streptococcus agalactiae, Lactococcus garvieae, Streptococcus iniae</italic>, and <italic>S. dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> (SDD) (Evans et al., <xref ref-type="bibr" rid="B13">2002</xref>; Agnew and Barnes, <xref ref-type="bibr" rid="B2">2007</xref>; Mian et al., <xref ref-type="bibr" rid="B27">2009</xref>; Netto et al., <xref ref-type="bibr" rid="B30">2011</xref>; Figueiredo et al., <xref ref-type="bibr" rid="B16">2012</xref>; Abdelsalam et al., <xref ref-type="bibr" rid="B1">2013</xref>). <italic>Streptococcus agalactiae, S. iniae</italic>, and <italic>L. garvieae</italic> cause septicemia and meningoencephalitis in several species of marine and freshwater fish (Eldar et al., <xref ref-type="bibr" rid="B12">1995</xref>; Evans et al., <xref ref-type="bibr" rid="B13">2002</xref>; Mian et al., <xref ref-type="bibr" rid="B27">2009</xref>; Figueiredo et al., <xref ref-type="bibr" rid="B16">2012</xref>; Godoy et al., <xref ref-type="bibr" rid="B20">2013</xref>; Soto et al., <xref ref-type="bibr" rid="B45">2015</xref>; Fukushima et al., <xref ref-type="bibr" rid="B18">2017</xref>). In fish, SDD infections are characterized by a systemic multifocal inflammatory reaction and a focal necrosis of the caudal peduncle, with moderate to high mortality rates during outbreaks (Nomoto et al., <xref ref-type="bibr" rid="B32">2006</xref>).</p>
<p>Currently, the most widely used technology for the diagnosis of these infectious diseases is the isolation of the etiological agent in blood agar medium and subsequent identification through phenotypic/biochemical tests (Vendrell et al., <xref ref-type="bibr" rid="B49">2006</xref>; Figueiredo et al., <xref ref-type="bibr" rid="B16">2012</xref>; Assis et al., <xref ref-type="bibr" rid="B4">2016</xref>). However, the performance of these tests can lead to misidentification or a lack of species-level resolution (Brigante et al., <xref ref-type="bibr" rid="B7">2006</xref>; Tavares et al., <xref ref-type="bibr" rid="B47">2016</xref>). Alternative molecular methods, such as species-specific PCR (Poyart et al., <xref ref-type="bibr" rid="B36">1998</xref>) and the amplification and sequencing of the 16S ribosomal RNA (rRNA) gene, are useful for diagnosis (Kolbert and Persing, <xref ref-type="bibr" rid="B25">1999</xref>; Patel, <xref ref-type="bibr" rid="B35">2001</xref>; Clarridge, <xref ref-type="bibr" rid="B10">2004</xref>) but are expensive and time consuming, mostly in trials with large number of clinical samples.</p>
<p>Recently, another technology to identify microorganisms was released: matrix-assisted laser desorption ionization (MALDI)-time of flight (TOF) mass spectrometry (MS) (Clark et al., <xref ref-type="bibr" rid="B9">2013</xref>; Singhal et al., <xref ref-type="bibr" rid="B44">2015</xref>). In this technique, the identification of the bacterial species is done by a comparison of peptide mass fingerprints to the device database. A typical mass range of 2&#x02013;20 kDa is used, which represents mainly ribosomal proteins, along with a few housekeeping proteins (Singhal et al., <xref ref-type="bibr" rid="B44">2015</xref>). There are many studies demonstrating the efficiency of MALDI-TOF MS in the classification of several species in a shorter time and with a lower cost (Bilecen et al., <xref ref-type="bibr" rid="B5">2015</xref>), including typing (Nagy et al., <xref ref-type="bibr" rid="B28">2011</xref>; Rizzardi et al., <xref ref-type="bibr" rid="B38">2013</xref>) or identification of specific markers such as methicillin resistance (&#x000D8;stergaard et al., <xref ref-type="bibr" rid="B34">2015</xref>; Ueda et al., <xref ref-type="bibr" rid="B48">2016</xref>). Furthermore, MALDI-TOF MS can be performed in a short time for a wide range pathogens in one experiment (Bizzini and Greub, <xref ref-type="bibr" rid="B6">2010</xref>). Additionally, it does not need a high level of staff training, reducing the risk of laboratory-associated infections by minimizing handling of living culture materials needed for the preparation of isolates.</p>
<p>Thus, the aim of this study was to evaluate the efficacy of MALDI-TOF MS for the identification of four Gram-positive cocci, <italic>S. agalactiae, L. garvieae, S. iniae</italic>, and SDD isolated from the kidneys, brains or abscesses of diseased fish from different geographic locations between 2003 and 2016.</p>
</sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and methods</title>
<sec>
<title>Bacterial strains</title>
<p>Bacterial strains were selected from the culture collection of the National Reference Laboratory for Aquatic Animal Diseases (AQUACEN) of the Brazilian Ministry of Agriculture, Livestock and Food Supply. These <italic>S. agalactiae</italic> (<italic>n</italic> &#x0003D; 50), <italic>L. garvieae</italic> (<italic>n</italic> &#x0003D; 11), <italic>S. iniae</italic> (<italic>n</italic> &#x0003D; 47), and SDD (<italic>n</italic> &#x0003D; 23) strains were isolated during bacteriological analyses of outbreaks in Brazilian fish farms in different years and geographical locations (Table <xref ref-type="supplementary-material" rid="SM1">S1</xref>). The isolation of these microorganisms was performed on chilled fish that were sent to AQUACEN for diagnosis. Swabs from brains, kidneys or abscesses were aseptically sampled and streaked onto 5% sheep blood agar (SBA) for the isolation of bacterial pathogens. These plates were incubated at 28&#x000B0;C for 48 h. Finally, the identification of bacterial species was carried out as previously described (Mian et al., <xref ref-type="bibr" rid="B27">2009</xref>; Netto et al., <xref ref-type="bibr" rid="B30">2011</xref>; Figueiredo et al., <xref ref-type="bibr" rid="B16">2012</xref>; Fukushima et al., <xref ref-type="bibr" rid="B18">2017</xref>).</p>
</sec>
<sec>
<title>Species confirmation through 16S rRNA gene sequencing</title>
<p>The isolates were thawed and streaked onto 5% SBA and were incubated at 28&#x000B0;C for 48 h. Isolates were incubated in a lysozyme solution at 37&#x000B0;C overnight. Bacterial DNA was extracted with a Maxwell 16 Tissue DNA purification kit (Promega, Madison, WI, USA) according to the manufacturer&#x00027;s instructions. The extracted DNA was quantified using a Nanodrop spectrophotometer (Thermo Scientific, Wilmington, DE, USA). The purity of the extracted DNA was determined using the absorbance ratio at 260/280 nm. Samples with ratio of 1.8 &#x000B1; 0.5 were stored at &#x02212;80&#x000B0;C until use.</p>
<p>The 16S rRNA gene was amplified by PCR with the universal primers B37 (5&#x02032;-TAC GGY TAC CTT GTT ACG A-3&#x02032;) and C70 (5&#x02032;-AGA GTT TGA TYM TGGC-3&#x02032;) and PCR amplicons were purified according to the method described by Fox et al. (<xref ref-type="bibr" rid="B17">1995</xref>) for all strains used in this work. The sequencing reactions were performed using a BigDye&#x02122; Terminator Cycle Sequencing Kit (Applied Biosystems, UK) and evaluated with an ABI 3,500 Genetic Analyzer (Life Technologies, USA). Forward and reverse sequencing products were used to generate contigs with the BioEdit software (Ibis Biosciences, Carlsbad, USA) version 7.2. Their identity was evaluated using the BLAST webserver (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/BLAST">http://www.ncbi.nlm.nih.gov/BLAST</ext-link>) by checking against existing sequences in the nt/nr database. A similarity of &#x02265; 97% was considered as the same species in accordance with Nguyen et al. (<xref ref-type="bibr" rid="B31">2016</xref>) and V&#x0011B;trovsk&#x000FD; and Baldrian (<xref ref-type="bibr" rid="B50">2013</xref>).</p>
</sec>
<sec>
<title>MALDI-TOF MS real-time identification analysis</title>
<p>All isolates were thawed and streaked onto 5% SBA and incubated at 28&#x000B0;C for 48 h. A fresh, single colony of each bacterial strain was spotted using a toothpick into a target steel plate. For each strain, 1 &#x003BC;l of formic acid (70%) and 1 &#x003BC;l of MALDI-TOF MS matrix, consisting of a saturated solution of &#x003B1;-cyano-4-hydroxycinnamic acid (HCCA) (Bruker Daltonics, Bremen, Germany), were applied to the spot and allowed to air-dry. Spectra were acquired using the FlexControl MicroFlex LT mass spectrometer (Bruker Daltonics) with a 60-Hz nitrogen laser, in which up to 240 laser shots are fired in spiral movements to collect 40 shot steps for each strain spot. Furthermore, parameters for mass range detection were defined to allow the identification from 1,960 to 20,137 m/z, where Ion source 1 v was 19.99 kv, Ion source 2 voltage was 18.24 kv and the lens voltage was 6.0 kv for data acquisition. Prior to measurements, calibration was preceded with a bacterial test standard (<italic>E. coli</italic> DH5 alpha; Bruker Daltonics). The Real Time (RT) identification score criteria used were those recommended by the manufacturer: score &#x02265; 2.000 indicates a species-level identification, score &#x02265;1.700 and &#x0003C;2.000 indicates a genus-level identification, and a score &#x0003C;1.700 indicates no reliable identification. Comparisons between MALDI-TOF MS strain identifications and those of other techniques were performed with R software version 3.0.1 (R Core Team, <xref ref-type="bibr" rid="B37">2013</xref>) with the agreement rates determined by the Kappa coefficient.</p>
</sec>
<sec>
<title>Creation of a custom main spectra profile</title>
<p>To identify possible <italic>S. iniae</italic> strains and to enhance the <italic>S. dysgalactiae</italic> discrimination at the subspecies-level in a MALDI Biotyper, Main Spectra Profiles (MSPs) were created with reference strains for each species. Fresh colonies of the <italic>S. iniae</italic> SI23 strain and the SDD SD64, SD92 and SD142 strains were extracted according Alatoom et al. (<xref ref-type="bibr" rid="B3">2011</xref>). Briefly, the strains were collected from the agar and added to 300 &#x003BC;l of distilled water, followed by the addition of 900 &#x003BC;l of ethanol. Two rounds of centrifugation for 2 min at 13,000 rpm and the complete removal of supernatant was necessary to obtain dried pellets. The pellets were suspended in 50 &#x003BC;l of formic acid (70%) and vortexed. Finally, 50 &#x003BC;l of acetonitrile was added and the mixtures were centrifuged for 2 min at 13,000 rpm. For assays, one microliter of the supernatant was spotted eight times onto a steel target. Directly after air-drying, each spot was overlaid with 1 &#x003BC;l of HCCA matrix. Each spot was measured three times with the same protocol/parameters described in the section above. The obtained spectra were closely analyzed in the FlexAnalysis software (Bruker Daltonics) to assess the high level of reproducibility. Finally, the spectra of each strain were uploaded to the MALDI Biotyper software version 3 (Bruker Daltonics) and assembled to generate a Main Spectra Profile (MSP) for the strains using the BioTyper MSP creation standard method. All steps were done according to the manufacturer&#x00027;s recommendations.</p>
<p>A figure illustrating the SD64 spectra was generated using R software version 3.0.1 (R Core Team, <xref ref-type="bibr" rid="B37">2013</xref>), using data exported from the FlexAnalysis software (Bruker Daltonics). In addition, in order to compare the custom MSPs with the MSP preloaded on the Bruker MSP library, the BioTyper software version 3.0 (Bruker Daltonics) was used to perform a dendrogram analysis. The parameters used were distance measure &#x0003D; &#x0201C;correlation,&#x0201D; linkage &#x0003D; &#x0201C;average,&#x0201D; maximum number of top level nodes &#x0003D; &#x0201C;0,&#x0201D; score oriented dendrogram &#x0201C;enabled,&#x0201D; score threshold values for a single organism &#x0003D; &#x0201C;300,&#x0201D; and score threshold values for a related organism &#x0003D; &#x0201C;0.&#x0201D;</p>
</sec>
<sec>
<title><italic>Streptococcus dysgalactiae</italic> subspecies confirmation</title>
<p>The SDD strains that had subspecies suggested by Costa et al. (<xref ref-type="bibr" rid="B11">2014</xref>) were inferred by a BLAST comparison of the 16S rRNA and <italic>sodA</italic> genes, and the MALDI Biotyper (Bruker Daltonics) analysis suggested a closer relationship with <italic>S. dysgalactiae</italic> subsp. <italic>equisimilis</italic> (SDE). In addition to the 16S sequencing described above, a Next-Generation Sequence (NGS) experiment was performed. Three strains (SD64, SD92, and SD142) with different pulse-field gel electrophoresis (PFGE) profiles described in previous work from our group (Costa et al., <xref ref-type="bibr" rid="B11">2014</xref>) were sequenced. DNA from the SDD strain was isolated from an overnight culture using a Maxwell 16 tissue DNA purification kit using the Maxwell 16 system (both from Promega). Sequencing was conducted on the Ion Torrent Personal Genome Machine sequencing system (Life Technologies) using a 200 bp fragment library kit, according to the manufacturer&#x00027;s recommendations. The barcodes of the raw data were removed using an in-house script (<ext-link ext-link-type="uri" xlink:href="https://github.com/aquacen/fast_sample">https://github.com/aquacen/fast_sample</ext-link>), and assembly was performed using SPAdes v3.9.1 (Nurk et al., <xref ref-type="bibr" rid="B33">2013</xref>).</p>
<p>SDD taxonomic classification was determined using the Jensen and Kilian (<xref ref-type="bibr" rid="B21">2012</xref>) method, where the analysis of the phylogenetic relationship of seven housekeeping genes (<italic>map, pfl, ppaC, pyk, rpoB, sodA</italic>, and <italic>tuf</italic>) through a multilocus sequence analysis (MLSA) represent an improved basis for the identification of clinically important streptococci. The concatenated sequence of these housekeeping genes is used to establish differences between species that allow a more accurate identification within the pyogenic group of streptococci. The sequence of the draft genome of SDD ATCC 27957 is available on GenBank (Accession number: <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CM001076">CM001076</ext-link>) and together with the genes of 30 streptococci strains submitted with the work of Jensen and Kilian (<xref ref-type="bibr" rid="B21">2012</xref>) were downloaded (Accession numbers: <italic>map</italic>: <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN632385">JN632385</ext-link> to <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN632479">JN632479</ext-link>; <italic>pfl</italic>: <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN632290">JN632290</ext-link> to <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN632384">JN632384</ext-link>; <italic>ppaC</italic>: <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN632195">JN632195</ext-link> to <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN632289">JN632289</ext-link>; <italic>pyk</italic>: <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN632100">JN632100</ext-link> to <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN632194">JN632194</ext-link>; <italic>rpoB</italic>: <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN632005">JN632005</ext-link> to <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN632099">JN632099</ext-link>; <italic>sodA</italic>: <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN631910">JN631910</ext-link> to <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN632004">JN632004</ext-link>; <italic>tuf</italic> : <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN631815">JN631815</ext-link> to <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="JN631909">JN631909</ext-link>).</p>
<p>To extract the sequences of the corresponding housekeeping genes, a homology search for each of the seven genes in the SD64, SD92, and SD142 strains was performed using the BLAST webserver (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/BLAST">http://www.ncbi.nlm.nih.gov/BLAST</ext-link>), with contigs generated by assembly software. The same strategy was performed with the SDD ATCC 27957 strain. All genes for each strain were concatenated in the following order: <italic>map-pfI-ppaC-pyk-rpoB-sodA-tuf</italic>. Alignment and phylogeny analyses were performed using MEGA6 (Tamura et al., <xref ref-type="bibr" rid="B46">2013</xref>), with the Kimura-2 model parameters, using the Minimum Evolution algorithm, and a bootstrap of 1,000 replications.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec>
<title>Species confirmation through 16S rRNA gene sequencing</title>
<p>The sequences of the 16S rRNA PCR products, which were generated with the aforementioned forward and reverse primers, were comprised in contigs for each strain. The mean lengths of the contigs were 1,514 &#x000B1; 12, 1,537 &#x000B1; 14, 1,519 &#x000B1; 15, and 1,515 &#x000B1; 17 bp for <italic>S. agalactiae, L. garvieae, S. iniae</italic>, and SDD, respectively. The contigs from each strain were used as queries for the BLAST webserver, and a percentage value of the similarities for <italic>L. garvieae</italic> was between 98 and 100, whereas <italic>S. agalactiae, S. iniae</italic> and SDD varied between 97 and 100. For the SDD strains, it was not possible make identification at the subspecies-level. For each SDD isolate there were results referring to the SDE and SDD with the same percentage value of identity that referred to the same query coverage.</p>
</sec>
<sec>
<title>MALDI-TOF MS RT identification of <italic>S. agalactiae</italic> and <italic>L. garvieae</italic></title>
<p>For each strain-spot, 1&#x02013;3 spectra were expected, according to the manufacturer&#x00027;s instructions for quality assurance performed by MALDI Biotyper software of acquisition. For <italic>S. agalactiae</italic>, 64 spectra were acquired, whereas 11 spectra were acquired for <italic>L. garvieae</italic>. All strains for both species were identified at the species-level (score &#x02265; 2.000). The minimal and maximal scores for <italic>S. agalactiae</italic> were 2.083 and 2.377 (Table <xref ref-type="table" rid="T1">1</xref>), respectively, and for <italic>L. garvieae</italic> were 2.081 and 2.218 (Table <xref ref-type="table" rid="T2">2</xref>), respectively. For both species a perfect agreement (Kappa &#x0003D; 1; CI: 1.0&#x02013;1.0; and <italic>p</italic> &#x0003C; 0.005) was observed between the 16S rRNA gene sequencing and MALDI-TOF MS techniques to identify the species.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p><italic>Streptococcus agalactiae</italic> strains identification by 16S rRNA sequencing and MALDI-TOF MS.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Strain</bold></th>
<th valign="top" align="center" colspan="2" style="border-bottom: thin solid #000000;"><bold>16S rRNA sequencing</bold></th>
<th valign="top" align="center" colspan="2" style="border-bottom: thin solid #000000;"><bold>MALDI Biotyper</bold></th>
</tr>
<tr>
<th/>
<th valign="top" align="left"><bold>Species</bold></th>
<th valign="top" align="center"><bold>% Identity</bold></th>
<th valign="top" align="left"><bold>Organism best match</bold></th>
<th valign="top" align="center"><bold>Score value</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">SA001</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.330</td>
</tr>
<tr>
<td valign="top" align="left">SA005</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.318</td>
</tr>
<tr>
<td valign="top" align="left">SA007</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.371</td>
</tr>
<tr>
<td valign="top" align="left">SA009</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.302</td>
</tr>
<tr>
<td valign="top" align="left">SA016</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.357</td>
</tr>
<tr>
<td valign="top" align="left">SA020</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.296</td>
</tr>
<tr>
<td valign="top" align="left">SA030</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.289</td>
</tr>
<tr>
<td valign="top" align="left">SA033</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.211</td>
</tr>
<tr>
<td valign="top" align="left">SA053</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.206</td>
</tr>
<tr>
<td valign="top" align="left">SA073</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.259</td>
</tr>
<tr>
<td valign="top" align="left">SA075</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.189</td>
</tr>
<tr>
<td valign="top" align="left">SA079</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.251</td>
</tr>
<tr>
<td valign="top" align="left">SA081</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.327</td>
</tr>
<tr>
<td valign="top" align="left">SA085</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.207</td>
</tr>
<tr>
<td valign="top" align="left">SA095</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.275</td>
</tr>
<tr>
<td valign="top" align="left">SA097</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.227</td>
</tr>
<tr>
<td valign="top" align="left">SA102</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.172</td>
</tr>
<tr>
<td valign="top" align="left">SA117</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.162</td>
</tr>
<tr>
<td valign="top" align="left">SA132</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.322</td>
</tr>
<tr>
<td valign="top" align="left">SA136</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.220</td>
</tr>
<tr>
<td valign="top" align="left">SA159</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.364</td>
</tr>
<tr>
<td valign="top" align="left">SA172</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.339</td>
</tr>
<tr>
<td valign="top" align="left">SA184</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.306</td>
</tr>
<tr>
<td valign="top" align="left">SA191</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.207</td>
</tr>
<tr>
<td valign="top" align="left">SA201</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.221</td>
</tr>
<tr>
<td valign="top" align="left">SA209</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.309</td>
</tr>
<tr>
<td valign="top" align="left">SA212</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.377</td>
</tr>
<tr>
<td valign="top" align="left">SA218</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.331</td>
</tr>
<tr>
<td valign="top" align="left">SA220</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.351</td>
</tr>
<tr>
<td valign="top" align="left">SA245</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.192</td>
</tr>
<tr>
<td valign="top" align="left">SA256</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.083</td>
</tr>
<tr>
<td valign="top" align="left">SA289</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.167</td>
</tr>
<tr>
<td valign="top" align="left">SA330</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.317</td>
</tr>
<tr>
<td valign="top" align="left">SA333</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.294</td>
</tr>
<tr>
<td valign="top" align="left">SA341</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.296</td>
</tr>
<tr>
<td valign="top" align="left">SA343</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.276</td>
</tr>
<tr>
<td valign="top" align="left">SA346</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.254</td>
</tr>
<tr>
<td valign="top" align="left">SA374</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.363</td>
</tr>
<tr>
<td valign="top" align="left">SA375</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.360</td>
</tr>
<tr>
<td valign="top" align="left">SA623</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.248</td>
</tr>
<tr>
<td valign="top" align="left">SA627</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.349</td>
</tr>
<tr>
<td valign="top" align="left">SA665</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.281</td>
</tr>
<tr>
<td valign="top" align="left">SA719</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.197</td>
</tr>
<tr>
<td valign="top" align="left">SA796</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.359</td>
</tr>
<tr>
<td valign="top" align="left">SA808</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.242</td>
</tr>
<tr>
<td valign="top" align="left">SA887</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.185</td>
</tr>
<tr>
<td valign="top" align="left">SA929</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.230</td>
</tr>
<tr>
<td valign="top" align="left">SA941</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.257</td>
</tr>
<tr>
<td valign="top" align="left">SA959</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.328</td>
</tr>
<tr>
<td valign="top" align="left">SA972</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus agalactiae</italic></td>
<td valign="top" align="center">2.183</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p><italic>Lactococcus garvieae</italic> strains identification by 16S rRNA sequencing and MALDI-TOF MS.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Strain</bold></th>
<th valign="top" align="center" colspan="2" style="border-bottom: thin solid #000000;"><bold>16S rRNA sequencing</bold></th>
<th valign="top" align="center" colspan="2" style="border-bottom: thin solid #000000;"><bold>MALDI Biotyper</bold></th>
</tr>
<tr>
<th/>
<th valign="top" align="left"><bold>Species</bold></th>
<th valign="top" align="center"><bold>% Identity</bold></th>
<th valign="top" align="left"><bold>Organism best match</bold></th>
<th valign="top" align="center"><bold>Score value</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">LG002</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">2.166</td>
</tr>
<tr>
<td valign="top" align="left">LG005</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">2.195</td>
</tr>
<tr>
<td valign="top" align="left">LG009</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">2.084</td>
</tr>
<tr>
<td valign="top" align="left">LG010</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">2.218</td>
</tr>
<tr>
<td valign="top" align="left">LG011</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">2.213</td>
</tr>
<tr>
<td valign="top" align="left">LG015</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">2.142</td>
</tr>
<tr>
<td valign="top" align="left">LG018</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">2.110</td>
</tr>
<tr>
<td valign="top" align="left">LG019</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">2.114</td>
</tr>
<tr>
<td valign="top" align="left">LG020</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">2.184</td>
</tr>
<tr>
<td valign="top" align="left">LG021</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">2.165</td>
</tr>
<tr>
<td valign="top" align="left">LG022</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Lactococcus garvieae</italic></td>
<td valign="top" align="center">2.081</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec>
<title>MALDI-TOF MS RT identification of <italic>S. iniae</italic></title>
<p>A total of 52 spectra were obtained for the 47 strains. Identification of <italic>S. iniae</italic> was possible in &#x0007E;53% of isolates at the genus-level (Table <xref ref-type="table" rid="T3">3</xref>), and the minimal and maximal scores were 1.482 and 1.854, respectively, including 22 with no reliable identification. The genus-level was inferred by an approximation of the spectra with <italic>S. dysgalactiae</italic> (<italic>n</italic> &#x0003D; 7), <italic>S. equi</italic> (<italic>n</italic> &#x0003D; 1), and <italic>S. pyogenes</italic> (<italic>n</italic> &#x0003D; 17). The species identification agreement when comparing 16S rRNA gene sequencing and MALDI-TOF MS was poor (Kappa &#x0003D; 0.04; CI: &#x02212;0.03 to 0.11; and <italic>p</italic> &#x0003D; 0.063).</p>
<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption><p><italic>Streptococcus iniae</italic> strains identification by 16S rRNA sequencing and MALDI-TOF MS (before and after custom MSP inclusion).</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Strain</bold></th>
<th valign="top" align="center" colspan="2" style="border-bottom: thin solid #000000;"><bold>16S rRNA sequencing</bold></th>
<th valign="top" align="center" colspan="4" style="border-bottom: thin solid #000000;"><bold>MALDI Biotyper</bold></th>
</tr>
<tr>
<th/>
<th/>
<th/>
<th valign="top" align="center" colspan="2" style="border-bottom: thin solid #000000;"><bold>Before custom MSP inclusion</bold></th>
<th valign="top" align="center" colspan="2" style="border-bottom: thin solid #000000;"><bold>After custom MSP inclusion</bold></th>
</tr>
<tr>
<th/>
<th valign="top" align="left"><bold>Species</bold></th>
<th valign="top" align="center"><bold>% Identity</bold></th>
<th valign="top" align="left"><bold>Organism best match</bold></th>
<th valign="top" align="center"><bold>Score value</bold></th>
<th valign="top" align="left"><bold>Organism best match</bold></th>
<th valign="top" align="center"><bold>Score value</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">SI022</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.736<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.223</td>
</tr>
<tr>
<td valign="top" align="left">SI023</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.509</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.089</td>
</tr>
<tr>
<td valign="top" align="left">SI024</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">1.741<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.165</td>
</tr>
<tr>
<td valign="top" align="left">SI025</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.580</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.205</td>
</tr>
<tr>
<td valign="top" align="left">SI027</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.642</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.148</td>
</tr>
<tr>
<td valign="top" align="left">SI028</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.683</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.013</td>
</tr>
<tr>
<td valign="top" align="left">SI029</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.724<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.199</td>
</tr>
<tr>
<td valign="top" align="left">SI444</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.627</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.031</td>
</tr>
<tr>
<td valign="top" align="left">SI503</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">1.737<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.301</td>
</tr>
<tr>
<td valign="top" align="left">SI674</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.664</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.205</td>
</tr>
<tr>
<td valign="top" align="left">SI677</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.732<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.409</td>
</tr>
<tr>
<td valign="top" align="left">SI692</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus equi</italic></td>
<td valign="top" align="center">1.700<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.332</td>
</tr>
<tr>
<td valign="top" align="left">SI696</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.620</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.308</td>
</tr>
<tr>
<td valign="top" align="left">SI698</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.679</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.426</td>
</tr>
<tr>
<td valign="top" align="left">SI699</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">1.821<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.273</td>
</tr>
<tr>
<td valign="top" align="left">SI700</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.605</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.147</td>
</tr>
<tr>
<td valign="top" align="left">SI701</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.629</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.272</td>
</tr>
<tr>
<td valign="top" align="left">SI702</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.675</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.281</td>
</tr>
<tr>
<td valign="top" align="left">SI705</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.678</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.326</td>
</tr>
<tr>
<td valign="top" align="left">SI706</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.750<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.122</td>
</tr>
<tr>
<td valign="top" align="left">SI711</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.733<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.231</td>
</tr>
<tr>
<td valign="top" align="left">SI712</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.749<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.124</td>
</tr>
<tr>
<td valign="top" align="left">SI713</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.713<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.275</td>
</tr>
<tr>
<td valign="top" align="left">SI714</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.641</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.075</td>
</tr>
<tr>
<td valign="top" align="left">SI715</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.748<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.216</td>
</tr>
<tr>
<td valign="top" align="left">SI717</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.648</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.261</td>
</tr>
<tr>
<td valign="top" align="left">SI718</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.825<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.249</td>
</tr>
<tr>
<td valign="top" align="left">SI720</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.829<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.321</td>
</tr>
<tr>
<td valign="top" align="left">SI790</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.774<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.204</td>
</tr>
<tr>
<td valign="top" align="left">SI791</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">1.781<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.255</td>
</tr>
<tr>
<td valign="top" align="left">SI792</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.556</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.054</td>
</tr>
<tr>
<td valign="top" align="left">SI797</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.854<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.043</td>
</tr>
<tr>
<td valign="top" align="left">SI798</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.675</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.293</td>
</tr>
<tr>
<td valign="top" align="left">SI819</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.787<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.203</td>
</tr>
<tr>
<td valign="top" align="left">SI826</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.809<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.244</td>
</tr>
<tr>
<td valign="top" align="left">SI831</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.557</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.313</td>
</tr>
<tr>
<td valign="top" align="left">SI839</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">1.738<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.173</td>
</tr>
<tr>
<td valign="top" align="left">SI841</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.686</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.242</td>
</tr>
<tr>
<td valign="top" align="left">SI842</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.614</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.379</td>
</tr>
<tr>
<td valign="top" align="left">SI852</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">1.707<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.071</td>
</tr>
<tr>
<td valign="top" align="left">SI870</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.482</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.228</td>
</tr>
<tr>
<td valign="top" align="left">SI875</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.668</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.182</td>
</tr>
<tr>
<td valign="top" align="left">SI876</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">1.751<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.238</td>
</tr>
<tr>
<td valign="top" align="left">SI913</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left">Not reliable identification</td>
<td valign="top" align="center">1.625</td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.276</td>
</tr>
<tr>
<td valign="top" align="left">SI928</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.819<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.031</td>
</tr>
<tr>
<td valign="top" align="left">SI954</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.802<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.214</td>
</tr>
<tr>
<td valign="top" align="left">SI970</td>
<td valign="top" align="left"><italic>Streptococcus iniae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus pyogenes</italic></td>
<td valign="top" align="center">1.853<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></td>
<td valign="top" align="left"><italic>S. iniae</italic> SI23</td>
<td valign="top" align="center">2.241</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="TN1">
<label>a</label>
<p><italic>Genus-level identification</italic>.</p></fn>
</table-wrap-foot>
</table-wrap>
<p>To make possible the correct identification of <italic>S. iniae</italic> strains using the MALDI Biotyper, a custom MSP was created for this species (Figure <xref ref-type="fig" rid="F1">1</xref>; MSP available at <ext-link ext-link-type="uri" xlink:href="http://www.renaqua.gov.br/aquacen-msp-si/">http://www.renaqua.gov.br/aquacen-msp-si/</ext-link>). Twenty-four spectra were collected for one isolate (SI23) by the Biotyper RTC program. The spectra were analyzed in the FlexAnalysis software to identify a high level of reproducibility, and all spectra were used to create the MSP. A dendrogram generated in BioTyper software (Figure <xref ref-type="fig" rid="F2">2</xref>) shows the SI23 strain as a single leaf between the <italic>S. pyogenes</italic> and <italic>S. dysgalactiae</italic> clades. After the inclusion of the custom MSP of <italic>S. iniae</italic>, all the strains were identified at the species-level (Table <xref ref-type="table" rid="T3">3</xref>), and the minimal and maximal score values were 2.013 and 2.426, respectively. A complete agreement between both tested techniques was observed (Kappa &#x0003D; 1; CI: 1.0&#x02013;1.0; and <italic>p</italic> &#x0003C; 0.005) for species identification.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>MSP of <italic>S. iniae</italic> SI23 peak identification. Peaks with intensities greater than 20% are labeled. Peaks with a previously identified m/z (Kim et al., <xref ref-type="bibr" rid="B24">2017</xref>) are shown in red bars.</p></caption>
<graphic xlink:href="fmicb-08-01492-g0001.tif"/>
</fig>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>MSP Dendrogram analysis of the custom MSP and Bruker MSP library of <italic>Lactococcus garvieae</italic> and <italic>Streptococcus</italic> spp. Isolates from this work are in bold. <italic>S. iniae</italic> SI23 is alone and between the <italic>S. pyogenes</italic> and <italic>S. dysgalactiae</italic> spp. clades. SDD is in an intra-species-specific clade of <italic>S. dysgalactiae</italic> spp. strains. The red arrow shows a distance level of &#x0007E;190 from <italic>S. dysgalactiae</italic> spp. <italic>equisimilis</italic> DSM 23147<sup>T</sup> to other <italic>S. dysgalactiae</italic> strains.</p></caption>
<graphic xlink:href="fmicb-08-01492-g0002.tif"/>
</fig>
</sec>
<sec>
<title>MALDI-TOF MS RT identification of SDD</title>
<p>The identification of SDD isolates, using 25 spectra from 23 strains, was obtained by an approximation of <italic>S. dysgalactiae</italic> and SDE MSPs at the species-level. Minimal and maximal scores were 2.058 and 2.298, respectively. Of all the SDD strains, 13 were identified with proximity to the subspecies <italic>equisimilis</italic>, and in 10 strains, there was no discrimination of subspecies (Table <xref ref-type="table" rid="T4">4</xref>). The agreement between techniques was perfect when considering the species-level (Kappa &#x0003D; 1; CI: 1.0&#x02013;1.0; and <italic>p</italic> &#x0003C; 0.004), but when considering the subspecies-level the agreement was only fair (Kappa &#x0003D; 0.21; CI: &#x02212;0.08&#x02212;0.52; <italic>p</italic> &#x0003D; 0.075). This demonstrated that both techniques were unable to identify strains at the subspecies-level.</p>
<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption><p>SDD strains identification by 16S rRNA sequencing and MALDI-TOF MS (before and after custom MSP inclusion).</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Strain</bold></th>
<th valign="top" align="center" colspan="2" style="border-bottom: thin solid #000000;"><bold>16S rRNA sequencing</bold></th>
<th valign="top" align="center" colspan="4" style="border-bottom: thin solid #000000;"><bold>MALDI Biotyper</bold></th>
</tr>
<tr>
<th/>
<th/>
<th/>
<th valign="top" align="center" colspan="2" style="border-bottom: thin solid #000000;"><bold>Before custom MSP inclusion</bold></th>
<th valign="top" align="center" colspan="2" style="border-bottom: thin solid #000000;"><bold>After custom MSP inclusion</bold></th>
</tr>
<tr>
<th/>
<th valign="top" align="left"><bold>Species</bold></th>
<th valign="top" align="center"><bold>% Identity</bold></th>
<th valign="top" align="left"><bold>Organism best match</bold></th>
<th valign="top" align="center"><bold>Score value</bold></th>
<th valign="top" align="left"><bold>Organism best match</bold></th>
<th valign="top" align="center"><bold>Score value</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">SD054</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.116</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD64</td>
<td valign="top" align="center">2.497</td>
</tr>
<tr>
<td valign="top" align="left">SD056</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.298</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD64</td>
<td valign="top" align="center">2.480</td>
</tr>
<tr>
<td valign="top" align="left">SD061</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.251</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD64</td>
<td valign="top" align="center">2.438</td>
</tr>
<tr>
<td valign="top" align="left">SD064</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.161</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD64</td>
<td valign="top" align="center">2.458</td>
</tr>
<tr>
<td valign="top" align="left">SD068</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.130</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.497</td>
</tr>
<tr>
<td valign="top" align="left">SD092</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">100</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.058</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD64</td>
<td valign="top" align="center">2.320</td>
</tr>
<tr>
<td valign="top" align="left">SD120</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.151</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD64</td>
<td valign="top" align="center">2.346</td>
</tr>
<tr>
<td valign="top" align="left">SD137</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">2.122</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.338</td>
</tr>
<tr>
<td valign="top" align="left">SD140</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.130</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.531</td>
</tr>
<tr>
<td valign="top" align="left">SD142</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">2.078</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.384</td>
</tr>
<tr>
<td valign="top" align="left">SD143</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">2.164</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD64</td>
<td valign="top" align="center">2.479</td>
</tr>
<tr>
<td valign="top" align="left">SD145</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.175</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.548</td>
</tr>
<tr>
<td valign="top" align="left">SD280</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">2.165</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.471</td>
</tr>
<tr>
<td valign="top" align="left">SD281</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">2.192</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD64</td>
<td valign="top" align="center">2.277</td>
</tr>
<tr>
<td valign="top" align="left">SD282</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">2.071</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.511</td>
</tr>
<tr>
<td valign="top" align="left">SD283</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.201</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.513</td>
</tr>
<tr>
<td valign="top" align="left">SD284</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">2.195</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.302</td>
</tr>
<tr>
<td valign="top" align="left">SD285</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">2.073</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.523</td>
</tr>
<tr>
<td valign="top" align="left">SD286</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.180</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.461</td>
</tr>
<tr>
<td valign="top" align="left">SD287</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.168</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.579</td>
</tr>
<tr>
<td valign="top" align="left">SD367</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">97</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">2.177</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.432</td>
</tr>
<tr>
<td valign="top" align="left">SD370</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">99</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">2.171</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD142</td>
<td valign="top" align="center">2.565</td>
</tr>
<tr>
<td valign="top" align="left">SD372</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> ssp. <italic>equisimilis</italic></td>
<td valign="top" align="center">2.143</td>
<td valign="top" align="left"><italic>Streptococcus dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD64</td>
<td valign="top" align="center">2.366</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>These strains, according to previous work of our group (Costa et al., <xref ref-type="bibr" rid="B11">2014</xref>), are from SDD subspecies. Therefore, an NGS experiment was done to confirm the subspecies assignments. Contigs from the assembly of the strains SD64, SD92, and SD142 (data not shown) were used for a MLSA analysis. The three strains formed a clade with SDD from work of Jensen and Kilian (<xref ref-type="bibr" rid="B21">2012</xref>), confirming the classification of theses strains as SDD subspecies in accordance with the methodology used (Figure <xref ref-type="fig" rid="F3">3</xref>).</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>Tree taxonomy analysis of SDD SD64, SD92, and SD142 strains. The strains from this work (bold) form a specific clade with other SDD strains from Jensen and Kilian (<xref ref-type="bibr" rid="B21">2012</xref>). Gray hatched areas are the subcluster of alpha- and beta-hemolytic strains proposed by Jensen and Kilian (<xref ref-type="bibr" rid="B21">2012</xref>).</p></caption>
<graphic xlink:href="fmicb-08-01492-g0003.tif"/>
</fig>
<p>To improve the identification by the MALDI Biotyper, custom MSPs were created for SDD (Figure <xref ref-type="fig" rid="F4">4</xref>; MSP available at <ext-link ext-link-type="uri" xlink:href="http://www.renaqua.gov.br/aquacen-msp-sdd/">http://www.renaqua.gov.br/aquacen-msp-sdd/</ext-link>). Twenty-four spectra were collected for each isolate as described above and the spectra were analyzed in the FlexAnalysis, where all spectra were used to create the MSP. A dendrogram generated in BioTyper software (Figure <xref ref-type="fig" rid="F2">2</xref>) shows the SD64, SD92, and SD142 strains in an intra-species-specific clade of <italic>S. dysgalactiae</italic> spp. Figure <xref ref-type="fig" rid="F4">4</xref> shows the common and exclusive peaks of custom MSPs and Bruker library MSPs, and, interestingly, the SDE DSM 23147<sup>T</sup> shows 25 exclusive peaks.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>Main Spectra Profiles of <italic>S. dysgalactiae</italic> subsp. <italic>dysgalactiae</italic> SD64, SD92, and SD142 peaks identification. The strains of this work (bold) together with the <italic>S. dysgalactiae</italic> group from Bruker MSP library. Peaks with intensities greater than 20% are labeled. Peaks common of all MSP are plotted in black circles. Peaks common to two or more MSPs are plotted in white circles. Peaks exclusive of each MSP are plotted in yellow circles.</p></caption>
<graphic xlink:href="fmicb-08-01492-g0004.tif"/>
</fig>
<p>After this inclusion (Table <xref ref-type="table" rid="T4">4</xref>), all isolates matched with to the three included custom MSP for the three best matches (Table <xref ref-type="supplementary-material" rid="SM2">S2</xref>), with minimal and maximal scores of 2.277 and 2.579, respectively. The agreement between 16S rRNA gene sequencing and MALDI-TOF MS was poor (Kappa &#x0003D; 0.08, CI: &#x02212;0.05&#x02212;0.22; <italic>p</italic> &#x0003D; 0.050), considering that 16S rRNA gene sequencing was unable to identify subspecies, whereas with MALDI-TOF MS, they could be determined effectively. In contrast, considering the MLSA analysis, the agreement between this technique and MALDI-TOF MS was perfect (Kappa &#x0003D; 1; CI: 1.0&#x02013;1.0; and <italic>p</italic> &#x0003C; 0.005).</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>Gram-positive cocci have been associated with acute and chronic fish diseases. They have become an increasingly important problem in the aquaculture industry in many countries (Evans et al., <xref ref-type="bibr" rid="B13">2002</xref>; Vendrell et al., <xref ref-type="bibr" rid="B49">2006</xref>; Agnew and Barnes, <xref ref-type="bibr" rid="B2">2007</xref>; Mian et al., <xref ref-type="bibr" rid="B27">2009</xref>; Netto et al., <xref ref-type="bibr" rid="B30">2011</xref>; Figueiredo et al., <xref ref-type="bibr" rid="B16">2012</xref>; Abdelsalam et al., <xref ref-type="bibr" rid="B1">2013</xref>; Costa et al., <xref ref-type="bibr" rid="B11">2014</xref>). An barrier to the better utilization of fish produced are the infectious diseases, including the control of the potential zoonotic infections caused by <italic>S. iniae</italic> (Keirstead et al., <xref ref-type="bibr" rid="B23">2014</xref>). Thus, accelerating the diagnosis of diseases remains a big challenge. An alternative for these diagnoses is species-specific PCR and 16S rRNA gene sequencing, but these techniques are expensive, time consuming and require highly technical skills. Meanwhile, the MALDI-TOF MS method can be an important technique to increase the laboratory speeds of identification of the etiological agent because it is an efficient and cost-effective method for the rapid and routine identification of bacterial isolates in the clinical microbiology laboratory (Seng et al., <xref ref-type="bibr" rid="B43">2009</xref>; Seibold et al., <xref ref-type="bibr" rid="B42">2010</xref>). The potential for identification at the serotype or strain level, and antibiotic resistance profiling within minutes, makes MALDI-TOF MS an on-going revolution in the clinical microbiology laboratory (Romero-G&#x000F3;mez et al., <xref ref-type="bibr" rid="B39">2012</xref>; &#x000D8;stergaard et al., <xref ref-type="bibr" rid="B34">2015</xref>; Sauget et al., <xref ref-type="bibr" rid="B40">2016</xref>; Ueda et al., <xref ref-type="bibr" rid="B48">2016</xref>).</p>
<p><italic>Streptococcus agalactiae</italic> and <italic>Lactococcus garvieae</italic> strains were classified as the correct species in 100% of the MALDI Biotyper experiments. Both species had been cited in previous works with MALDI-TOF MS systems (Lartigue et al., <xref ref-type="bibr" rid="B26">2009</xref>; Navas et al., <xref ref-type="bibr" rid="B29">2013</xref>), but not with regards to strains isolated from fish. Although there are no studies about the variation of the subtype of <italic>L. garvieae</italic>, a large number of <italic>S. agalactiae</italic> subtypes are known (Jones et al., <xref ref-type="bibr" rid="B22">2003</xref>). The strains obtained from fish farm outbreaks in Brazil, used in this work, are from different genomic subtypes (Godoy et al., <xref ref-type="bibr" rid="B20">2013</xref>), but nevertheless they did not show divergence in RT identification using the MALDI Biotyper.</p>
<p>The possibility of inclusion of a custom MSP on the Bruker MALDI Biotyper makes the tool expansive and allows for its adaptation to the laboratory business independent of the equipment manufacturer. Following the example of what had previously been reported by Segawa et al. (<xref ref-type="bibr" rid="B41">2015</xref>), the <italic>S. iniae</italic> SI23 strain and SDD SD64, SD92, and SD142 strains were included as MSPs, and the results improved to 100% correct identification. Recently, Fan et al. (<xref ref-type="bibr" rid="B14">2017</xref>), analyzing studies performed of streptococci rapid classification, suggested an overestimated accuracy of MALDI-TOF MS systems on <italic>Streptococcus</italic> spp. identification, since the 16S rRNA gene sequencing analyses were only performed on discrepant results. In our analysis, all strains were identified by 16S rRNA gene sequencing or by the 16S rRNA gene in addition to housekeeping genes that were sequenced in parallel with the MALDI-TOF MS experiments, in order to achieve more confident results.</p>
<p><italic>Streptococcus iniae</italic> strains, before the inclusion of a custom MSP, had matches with <italic>S. pyogenes</italic> and <italic>S. dysgalactiae</italic>, with scores lower than 2.000, suggesting a genus-level match (Table <xref ref-type="table" rid="T3">3</xref>) within only &#x0007E;53% of tested isolates. The Bruker MSP library does not give MSP information about this species. The included custom MSP of SI23 showed similarities with these two species (Figure <xref ref-type="fig" rid="F2">2</xref>). These data corroborate with recent work from Kim et al. (<xref ref-type="bibr" rid="B24">2017</xref>) that shows the inclusion of <italic>S. iniae</italic> MSPs for the classification of <italic>S. iniae</italic> at the species-level, and shows the peaks list shared by <italic>S. iniae</italic> and <italic>S. pyogenes</italic>. Furthermore, 24 of 26 (&#x0007E;92%) of peaks with relative intensities greater than 20 are shared between <italic>S. iniae</italic> ATCC 29178 (Kim et al., <xref ref-type="bibr" rid="B24">2017</xref>) and <italic>S. iniae</italic> SI23 (Figure <xref ref-type="fig" rid="F1">1</xref>).</p>
<p>In relation to the SDD strains, during the strains&#x00027; RT classification, the results were all above 2.000; however, 13 strains were classified as SDE, and the other 10 were classified as <italic>S. dysgalactiae</italic> species (Table <xref ref-type="table" rid="T4">4</xref>). In previous work from our group (Costa et al., <xref ref-type="bibr" rid="B11">2014</xref>), we suggested that the Brazilian <italic>S. dysgalactiae</italic> isolates were from a <italic>dysgalactiae</italic> subspecies, according to 16S rRNA and <italic>sodA</italic> genes sequencing. Because of previous work (Jensen and Kilian, <xref ref-type="bibr" rid="B21">2012</xref>) based on the MLSA analysis of a combination of seven housekeeping genes and the study of their phylogenetic relationships, an identification of the tested isolates in this work as SDD was confirmed. A custom MSP was created with the chosen isolates SD64, SD92, and SD142. Each strain has a different genotype that was identified in analyses made by PFGE in a previous work from our group (Costa et al., <xref ref-type="bibr" rid="B11">2014</xref>). Using the custom MSP, all the analyzed strains had a correspondence larger than 2.000 (Table <xref ref-type="table" rid="T4">4</xref>), indicating a high similarity of these strains with the created MSPs. Specimens in the Bruker MSP library named SDE and <italic>S. dysgalactiae</italic> do not have an accessible history, and the strain identified as SDD is referenced as ATCC&#x000AE; 43078&#x02122;, which is an isolate from a cow with mastitis (Garvie et al., <xref ref-type="bibr" rid="B19">1983</xref>). Furthermore, as Figure <xref ref-type="fig" rid="F2">2</xref> shows, the SDE DSM 23147<sup><italic>T</italic></sup> showed a distance level (i.e., similarity of selected isolates with a maximal value of divergence of 1,000) of &#x0007E;190 from another clade of <italic>S. dysgalactiae</italic> isolates and a different partner using MSP profiles in Figure <xref ref-type="fig" rid="F4">4</xref>. This characteristic suggests, taking into consideration there is no traceable information for the isolates in addition to the recent studies of <italic>S. dysgalactiae</italic> spp. (Jensen and Kilian, <xref ref-type="bibr" rid="B21">2012</xref>; Ciszewski et al., <xref ref-type="bibr" rid="B8">2016</xref>), that a reclassification, based on genomic analyses, should be done for such isolates from the Bruker MSP library.</p>
<p>Although the MALDI Biotyper is primarily designed for diagnoses at the species-level, in our experiments it was possible to correctly identify the subspecies of SDD, allowing for a rapid and low cost analysis when compared with other techniques to make subspecies-level identifications. MALDI-TOF MS was shown to be an efficient technology for identifying important Gram-positive cocci that cause major diseases in farmed fish.</p>
</sec>
<sec id="s5">
<title>Author contributions</title>
<p>GA, FP, and AZ wrote the manuscript. HF, GA, FP, GT, and CL conceived and designed the experiments. FP and AZ perform bioinformatics analyses. HF coordinated all analyses of the project. All authors read and approved the final manuscript.</p>
<sec>
<title>Conflict of interest statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</sec>
</body>
<back>
<ack><p>We thank the Coordination for the Improvement of Higher Education Personnel (CAPES), the National Counsel of Technological and Scientific Development (CNPq) and Ministry of Agriculture, Livestock, and Food Supply (MAPA) for financing this study.</p>
</ack>
<sec sec-type="supplementary-material" id="s6">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="http://journal.frontiersin.org/article/10.3389/fmicb.2017.01492/full#supplementary-material">http://journal.frontiersin.org/article/10.3389/fmicb.2017.01492/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Table1.DOCX" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table2.DOCX" id="SM2" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Abdelsalam</surname> <given-names>M.</given-names></name> <name><surname>Asheg</surname> <given-names>A.</given-names></name> <name><surname>Eissa</surname> <given-names>A. E.</given-names></name></person-group> (<year>2013</year>). <article-title><italic>Streptococcus dysgalactiae</italic>: an emerging pathogen of fishes and mammals</article-title>. <source>Int. J. Veter. Sci. Med.</source> <volume>1</volume>, <fpage>1</fpage>&#x02013;<lpage>6</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijvsm.2013.04.002</pub-id></citation>
</ref>
<ref id="B2">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Agnew</surname> <given-names>W.</given-names></name> <name><surname>Barnes</surname> <given-names>A. C.</given-names></name></person-group> (<year>2007</year>). <article-title><italic>Streptococcus iniae</italic>: an aquatic pathogen of global veterinary significance and a challenging candidate for reliable vaccination</article-title>. <source>Vet. Microbiol.</source> <volume>122</volume>, <fpage>1</fpage>&#x02013;<lpage>15</lpage>. <pub-id pub-id-type="doi">10.1016/j.vetmic.2007.03.002</pub-id><pub-id pub-id-type="pmid">17418985</pub-id></citation>
</ref>
<ref id="B3">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Alatoom</surname> <given-names>A. A.</given-names></name> <name><surname>Cunningham</surname> <given-names>S. A.</given-names></name> <name><surname>Ihde</surname> <given-names>S. M.</given-names></name> <name><surname>Mandrekar</surname> <given-names>J.</given-names></name> <name><surname>Patel</surname> <given-names>R.</given-names></name></person-group> (<year>2011</year>). <article-title>Comparison of direct colony method versus extraction method for identification of gram-positive cocci by use of bruker biotyper matrix-assisted laser desorption ionization&#x02013;time of flight mass spectrometry</article-title>. <source>J. Clin. Microb.</source> <volume>49</volume>, <fpage>2868</fpage>&#x02013;<lpage>2873</lpage>. <pub-id pub-id-type="doi">10.1128/JCM.00506-11</pub-id><pub-id pub-id-type="pmid">21613431</pub-id></citation>
</ref>
<ref id="B4">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Assis</surname> <given-names>G. B. N.</given-names></name> <name><surname>Tavares</surname> <given-names>G. C.</given-names></name> <name><surname>Pereira</surname> <given-names>F. L.</given-names></name> <name><surname>Figueiredo</surname> <given-names>H. C. P.</given-names></name> <name><surname>Leal</surname> <given-names>C. A. G.</given-names></name></person-group> (<year>2016</year>). <article-title>Natural coinfection by <italic>Streptococcus agalactiae</italic> and <italic>Francisella noatunensis</italic> subsp. orientalis in farmed <italic>Nile tilapia</italic> (<italic>Oreochromis niloticus</italic> L.)</article-title>. <source>J. Fish Dis.</source> <volume>40</volume>, <fpage>51</fpage>&#x02013;<lpage>63</lpage>. <pub-id pub-id-type="doi">10.1111/jfd.12493</pub-id><pub-id pub-id-type="pmid">27144661</pub-id></citation>
</ref>
<ref id="B5">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bilecen</surname> <given-names>K.</given-names></name> <name><surname>Yaman</surname> <given-names>G.</given-names></name> <name><surname>Ciftci</surname> <given-names>U.</given-names></name> <name><surname>Laleli</surname> <given-names>Y. R.</given-names></name></person-group> (<year>2015</year>). <article-title>Performances and reliability of bruker microflex LT and VITEK MS MALDI-TOF mass spectrometry systems for the identification of clinical microorganisms</article-title>. <source>Biomed Res. Int.</source> <volume>2015</volume>:<fpage>516410</fpage>. <pub-id pub-id-type="doi">10.1155/2015/516410</pub-id><pub-id pub-id-type="pmid">26793718</pub-id></citation>
</ref>
<ref id="B6">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bizzini</surname> <given-names>A.</given-names></name> <name><surname>Greub</surname> <given-names>G.</given-names></name></person-group> (<year>2010</year>). <article-title>Matrix-assisted laser desorption ionization time-of-flight mass spectrometry, a revolution in clinical microbial identification</article-title>. <source>Clin. Microbiol. Infect.</source> <volume>16</volume>, <fpage>1614</fpage>&#x02013;<lpage>1619</lpage>. <pub-id pub-id-type="doi">10.1111/j.1469-0691.2010.03311.x</pub-id><pub-id pub-id-type="pmid">20636422</pub-id></citation>
</ref>
<ref id="B7">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brigante</surname> <given-names>G.</given-names></name> <name><surname>Luzzaro</surname> <given-names>F.</given-names></name> <name><surname>Bettaccini</surname> <given-names>A.</given-names></name> <name><surname>Lombardi</surname> <given-names>G.</given-names></name> <name><surname>Meacci</surname> <given-names>F.</given-names></name> <name><surname>Pini</surname> <given-names>B.</given-names></name> <etal/></person-group>. (<year>2006</year>). <article-title>Use of the phoenix automated system for identification of Streptococcus and Enterococcus spp</article-title>. <source>J. Clin. Microbiol.</source> <volume>44</volume>, <fpage>3263</fpage>&#x02013;<lpage>3267</lpage>. <pub-id pub-id-type="doi">10.1128/JCM.00299-06</pub-id><pub-id pub-id-type="pmid">16954258</pub-id></citation>
</ref>
<ref id="B8">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ciszewski</surname> <given-names>M.</given-names></name> <name><surname>Zegarski</surname> <given-names>K.</given-names></name> <name><surname>Szewczyk</surname> <given-names>E. M.</given-names></name></person-group> (<year>2016</year>). <article-title><italic>Streptococcus dysgalactiae</italic> subsp. equisimilis isolated from infections in dogs and humans: are current subspecies identification criteria accurate?</article-title> <source>Curr. Microbiol.</source> <volume>73</volume>, <fpage>684</fpage>&#x02013;<lpage>688</lpage>. <pub-id pub-id-type="doi">10.1007/s00284-016-1113-x</pub-id><pub-id pub-id-type="pmid">27502064</pub-id></citation>
</ref>
<ref id="B9">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Clark</surname> <given-names>A. E.</given-names></name> <name><surname>Kaleta</surname> <given-names>E. J.</given-names></name> <name><surname>Arora</surname> <given-names>A.</given-names></name> <name><surname>Wolk</surname> <given-names>D. M.</given-names></name></person-group> (<year>2013</year>). <article-title>Matrix-assisted laser desorption ionization-time of flight massspectrometry: a fundamental shift in the routine practice of clinical microbiology</article-title>. <source>Clin. Microbiol. Rev.</source> <volume>26</volume>, <fpage>547</fpage>&#x02013;<lpage>603</lpage>. <pub-id pub-id-type="doi">10.1128/CMR.00072-12</pub-id><pub-id pub-id-type="pmid">23824373</pub-id></citation>
</ref>
<ref id="B10">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Clarridge</surname> <given-names>J. E.</given-names></name></person-group> (<year>2004</year>). <article-title>Impact of 16S rRNA gene sequence analysis for identification of bacteria on clinical microbiology and infectious diseases</article-title>. <source>Clin. Microbiol. Rev.</source> <volume>17</volume>, <fpage>840</fpage>&#x02013;<lpage>862</lpage>. <pub-id pub-id-type="doi">10.1128/CMR.17.4.840-862.2004</pub-id><pub-id pub-id-type="pmid">15489351</pub-id></citation>
</ref>
<ref id="B11">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Costa</surname> <given-names>F. A. A.</given-names></name> <name><surname>Leal</surname> <given-names>C. A. G.</given-names></name> <name><surname>Leite</surname> <given-names>R. C.</given-names></name> <name><surname>Figueiredo</surname> <given-names>H. C. P.</given-names></name></person-group> (<year>2014</year>). <article-title>Genotyping of <italic>Streptococcus dysgalactiae</italic> strains isolated from Nile tilapia, <italic>Oreochromis niloticus</italic> (L.)</article-title>. <source>J. Fish Dis.</source> <volume>37</volume>, <fpage>463</fpage>&#x02013;<lpage>469</lpage>. <pub-id pub-id-type="doi">10.1111/jfd.12125</pub-id><pub-id pub-id-type="pmid">23786245</pub-id></citation>
</ref>
<ref id="B12">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Eldar</surname> <given-names>A.</given-names></name> <name><surname>Bejerano</surname> <given-names>Y.</given-names></name> <name><surname>Livoff</surname> <given-names>A.</given-names></name> <name><surname>Horovicz</surname> <given-names>A.</given-names></name> <name><surname>Bercovier</surname> <given-names>H.</given-names></name></person-group> (<year>1995</year>). <article-title>Experimental streptococcal meningo-encephalitis in cultured fish</article-title>. <source>Vet. Microbiol.</source> <volume>43</volume>, <fpage>33</fpage>&#x02013;<lpage>40</lpage>. <pub-id pub-id-type="doi">10.1016/0378-1135(94)00052-X</pub-id><pub-id pub-id-type="pmid">7716882</pub-id></citation>
</ref>
<ref id="B13">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Evans</surname> <given-names>J. J.</given-names></name> <name><surname>Klesius</surname> <given-names>P. H.</given-names></name> <name><surname>Gilbert</surname> <given-names>P. M.</given-names></name> <name><surname>Shoemaker</surname> <given-names>C. A.</given-names></name> <name><surname>Sarawi</surname> <given-names>M. A. A.</given-names></name> <name><surname>Landsberg</surname> <given-names>J.</given-names></name> <etal/></person-group>. (<year>2002</year>). <article-title>Characterization of &#x003B2;-haemolytic Group B Streptococcus agalactiae in cultured seabream, <italic>Sparus auratus</italic> L., and wild mullet, <italic>Liza klunzingeri</italic> (Day), in Kuwait</article-title>. <source>J. Fish Dis.</source> <volume>25</volume>, <fpage>505</fpage>&#x02013;<lpage>513</lpage>. <pub-id pub-id-type="doi">10.1046/j.1365-2761.2002.00392.x</pub-id></citation>
</ref>
<ref id="B14">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fan</surname> <given-names>W. T.</given-names></name> <name><surname>Qin</surname> <given-names>T. T.</given-names></name> <name><surname>Bi</surname> <given-names>R. R.</given-names></name> <name><surname>Kang</surname> <given-names>H. Q.</given-names></name> <name><surname>Ma</surname> <given-names>P.</given-names></name> <name><surname>Gu</surname> <given-names>B.</given-names></name></person-group> (<year>2017</year>). <article-title>Performance of the matrix-assisted laser desorption ionization time-of-flight mass spectrometry system for rapid identification of streptococci: a review</article-title>. <source>Eur. J. Clin. Microbiol. Infect. Dis.</source> <volume>36</volume>, <fpage>1005</fpage>&#x02013;<lpage>1012</lpage>. <pub-id pub-id-type="doi">10.1007/s10096-016-2879-2</pub-id><pub-id pub-id-type="pmid">28116553</pub-id></citation>
</ref>
<ref id="B15">
<citation citation-type="web"><person-group person-group-type="author"><collab>FAO</collab></person-group> (<year>2016</year>). <source>The State of World Fisheries and Aquaculture (SOFIA)</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="http://www.fao.org/3/a-i5555e.pdf">http://www.fao.org/3/a-i5555e.pdf</ext-link></citation>
</ref>
<ref id="B16">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Figueiredo</surname> <given-names>H. C. P.</given-names></name> <name><surname>Netto</surname> <given-names>L. N.</given-names></name> <name><surname>Leal</surname> <given-names>C. A. G.</given-names></name> <name><surname>Pereira</surname> <given-names>U. P.</given-names></name> <name><surname>Mian</surname> <given-names>G. F.</given-names></name></person-group> (<year>2012</year>). <article-title><italic>Streptococcus iniae</italic> outbreaks in Brazilian Nile tilapia (<italic>Oreochromis niloticus</italic> L.) farms</article-title>. <source>Braz. J. Microbiol.</source> <volume>43</volume>, <fpage>576</fpage>&#x02013;<lpage>580</lpage>. <pub-id pub-id-type="doi">10.1590/S1517-83822012000200019</pub-id><pub-id pub-id-type="pmid">24031866</pub-id></citation>
</ref>
<ref id="B17">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fox</surname> <given-names>J. G.</given-names></name> <name><surname>Yan</surname> <given-names>L. L.</given-names></name> <name><surname>Dewhirst</surname> <given-names>F. E.</given-names></name> <name><surname>Paster</surname> <given-names>B. J.</given-names></name> <name><surname>Shames</surname> <given-names>B.</given-names></name> <name><surname>Murphy</surname> <given-names>J. C.</given-names></name> <etal/></person-group>. (<year>1995</year>). <article-title><italic>Helicobacter bilis</italic> sp. Nov., A novel <italic>Helicobacter</italic> species isolated from bile, livers, and intestines of aged, inbred mice</article-title>. <source>J. Clin. Microbiol.</source> <volume>33</volume>, <fpage>445</fpage>&#x02013;<lpage>454</lpage>. <pub-id pub-id-type="pmid">7536217</pub-id></citation>
</ref>
<ref id="B18">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fukushima</surname> <given-names>H. C. S.</given-names></name> <name><surname>Leal</surname> <given-names>C. A. G.</given-names></name> <name><surname>Cavalcante</surname> <given-names>R. B.</given-names></name> <name><surname>Figueiredo</surname> <given-names>H. C. P.</given-names></name> <name><surname>Arijo</surname> <given-names>S.</given-names></name> <name><surname>Mori&#x000F1;igo</surname> <given-names>M. A.</given-names></name> <etal/></person-group>. (<year>2017</year>). <article-title><italic>Lactococcus garvieae</italic> outbreaks in Brazilian farms Lactococcosis in Pseudoplatystoma sp. &#x02013; development of an autogenous vaccine as a control strategy</article-title>. <source>J. Fish Dis.</source> <volume>40</volume>, <fpage>263</fpage>&#x02013;<lpage>272</lpage>. <pub-id pub-id-type="doi">10.1111/jfd.12509</pub-id><pub-id pub-id-type="pmid">27457188</pub-id></citation>
</ref>
<ref id="B19">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Garvie</surname> <given-names>E. I.</given-names></name> <name><surname>Farrow</surname> <given-names>J. A. E.</given-names></name> <name><surname>Bramley</surname> <given-names>A. J.</given-names></name></person-group> (<year>1983</year>). <article-title><italic>Streptococcus dysgalactiae</italic> (Diernhofer) nom. rev</article-title>. <source>Int. J. Syst. Bacteriol.</source> <volume>33</volume>, <fpage>404</fpage>&#x02013;<lpage>405</lpage>. <pub-id pub-id-type="doi">10.1099/00207713-33-2-404</pub-id></citation>
</ref>
<ref id="B20">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Godoy</surname> <given-names>D. T.</given-names></name> <name><surname>Carvalho-Castro</surname> <given-names>G. A.</given-names></name> <name><surname>Leal</surname> <given-names>C. A. G.</given-names></name> <name><surname>Pereira</surname> <given-names>U. P.</given-names></name> <name><surname>Leite</surname> <given-names>R. C.</given-names></name> <name><surname>Figueiredo</surname> <given-names>H. C. P.</given-names></name></person-group> (<year>2013</year>). <article-title>Genetic diversity and new genotyping scheme for fish pathogenic <italic>Streptococcus agalactiae</italic></article-title>. <source>Lett. Appl. Microbiol.</source> <volume>57</volume>, <fpage>476</fpage>&#x02013;<lpage>483</lpage>. <pub-id pub-id-type="doi">10.1111/lam.12138</pub-id><pub-id pub-id-type="pmid">23889675</pub-id></citation>
</ref>
<ref id="B21">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jensen</surname> <given-names>A.</given-names></name> <name><surname>Kilian</surname> <given-names>M.</given-names></name></person-group> (<year>2012</year>). <article-title>Delineation of <italic>Streptococcus dysgalactiae</italic>, its subspecies, and its clinical and phylogenetic relationship to Streptococcus pyogenes</article-title>. <source>J. Clin. Microbiol.</source> <volume>50</volume>, <fpage>112</fpage>&#x02013;<lpage>126</lpage>. <pub-id pub-id-type="doi">10.1128/JCM.05900-11</pub-id><pub-id pub-id-type="pmid">22075580</pub-id></citation>
</ref>
<ref id="B22">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jones</surname> <given-names>N.</given-names></name> <name><surname>Bohnsack</surname> <given-names>J. F.</given-names></name> <name><surname>Takahashi</surname> <given-names>S.</given-names></name> <name><surname>Oliver</surname> <given-names>K. A.</given-names></name> <name><surname>Chan</surname> <given-names>M. S.</given-names></name> <name><surname>Kunst</surname> <given-names>F.</given-names></name> <etal/></person-group>. (<year>2003</year>). <article-title>Multilocus sequence typing system for group B streptococcus</article-title>. <source>J. Clin. Microbiol.</source> <volume>6</volume>, <fpage>2530</fpage>&#x02013;<lpage>2536</lpage>. <pub-id pub-id-type="doi">10.1128/JCM.41.6.2530-2536.2003</pub-id></citation>
</ref>
<ref id="B23">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Keirstead</surname> <given-names>N. D.</given-names></name> <name><surname>Brake</surname> <given-names>J. W.</given-names></name> <name><surname>Griffin</surname> <given-names>M. J.</given-names></name> <name><surname>Halliday-Simmonds</surname> <given-names>I.</given-names></name> <name><surname>Thrall</surname> <given-names>M. A.</given-names></name> <name><surname>Soto</surname> <given-names>E.</given-names></name></person-group> (<year>2014</year>). <article-title>Fatal Septicemia caused by the Zoonotic Bacterium <italic>Streptococcus iniae</italic> during an outbreak in Caribbean reef fish</article-title>. <source>Vet. Pathol.</source> <volume>51</volume>, <fpage>1035</fpage>&#x02013;<lpage>1041</lpage>. <pub-id pub-id-type="doi">10.1177/0300985813505876</pub-id><pub-id pub-id-type="pmid">24078005</pub-id></citation>
</ref>
<ref id="B24">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname> <given-names>S. W.</given-names></name> <name><surname>Nho</surname> <given-names>S. W.</given-names></name> <name><surname>Im</surname> <given-names>S. P.</given-names></name> <name><surname>Lee</surname> <given-names>J. S.</given-names></name> <name><surname>Jung</surname> <given-names>J. W.</given-names></name> <name><surname>Lazarte</surname> <given-names>J. M.</given-names></name> <etal/></person-group>. (<year>2017</year>). <article-title>Rapid MALDI biotyper-based identification and cluster analysis of <italic>Streptococcus iniae</italic></article-title>. <source>J. Microbiol.</source> <volume>55</volume>, <fpage>260</fpage>&#x02013;<lpage>266</lpage>. <pub-id pub-id-type="doi">10.1007/s12275-017-6472-x</pub-id><pub-id pub-id-type="pmid">28124778</pub-id></citation>
</ref>
<ref id="B25">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kolbert</surname> <given-names>C. P.</given-names></name> <name><surname>Persing</surname> <given-names>D. H.</given-names></name></person-group> (<year>1999</year>). <article-title>Ribosomal DNA sequencing as a tool for identification of bacterial pathogens</article-title>. <source>Curr. Opin. Microbiol.</source> <volume>2</volume>, <fpage>299</fpage>&#x02013;<lpage>305</lpage>. <pub-id pub-id-type="doi">10.1016/S1369-5274(99)80052-6</pub-id><pub-id pub-id-type="pmid">10383862</pub-id></citation>
</ref>
<ref id="B26">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lartigue</surname> <given-names>M. F.</given-names></name> <name><surname>H&#x000E9;ry-Arnaud</surname> <given-names>G.</given-names></name> <name><surname>Haguenoer</surname> <given-names>E.</given-names></name> <name><surname>Domelier</surname> <given-names>A. S.</given-names></name> <name><surname>Schmit</surname> <given-names>P. O.</given-names></name> <name><surname>van der Mee-Marquet</surname> <given-names>N.</given-names></name> <etal/></person-group>. (<year>2009</year>). <article-title>Identification of Streptococcus agalactiae isolates from various phylogenetic lineages by matrix-assisted laser desorption ionization-time of flight mass spectrometry</article-title>. <source>J. Clin. Microbiol.</source> <volume>47</volume>, <fpage>2284</fpage>&#x02013;<lpage>2287</lpage>. <pub-id pub-id-type="doi">10.1128/JCM.00175-09</pub-id><pub-id pub-id-type="pmid">19403759</pub-id></citation>
</ref>
<ref id="B27">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mian</surname> <given-names>G. F.</given-names></name> <name><surname>Godoy</surname> <given-names>D. T.</given-names></name> <name><surname>Leal</surname> <given-names>C. A. G.</given-names></name> <name><surname>Yuhara</surname> <given-names>T. Y.</given-names></name> <name><surname>Costa</surname> <given-names>G. M.</given-names></name> <name><surname>Figueiredo</surname> <given-names>H. C. P.</given-names></name></person-group> (<year>2009</year>). <article-title>Aspects of the natural history and virulence of <italic>S. agalactiae</italic> infection in <italic>Nile tilapia</italic></article-title>. <source>Vet. Microbiol.</source> <volume>36</volume>, <fpage>180</fpage>&#x02013;<lpage>183</lpage>. <pub-id pub-id-type="doi">10.1016/j.vetmic.2008.10.016</pub-id></citation>
</ref>
<ref id="B28">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nagy</surname> <given-names>E.</given-names></name> <name><surname>Urb&#x000E1;n</surname> <given-names>E.</given-names></name> <name><surname>Nord</surname> <given-names>C. E.</given-names></name></person-group> (<year>2011</year>). <article-title>ESCMID study group on antimicrobial resistance in Anaerobic Bacteria 2011 antimicrobial susceptibility of <italic>Bacteroides fragilis</italic> group isolates in Europe: 20 years of experience</article-title>. <source>Clin. Microbiol. Infect.</source> <volume>17</volume>, <fpage>371</fpage>&#x02013;<lpage>379</lpage>. <pub-id pub-id-type="doi">10.1111/j.1469-0691.2010.03256.x</pub-id></citation>
</ref>
<ref id="B29">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Navas</surname> <given-names>M. E.</given-names></name> <name><surname>Hall</surname> <given-names>G.</given-names></name> <name><surname>El Bejjani</surname> <given-names>D.</given-names></name></person-group> (<year>2013</year>). <article-title>A case of Endocarditis caused by <italic>Lactococcus garvieae</italic> and suggested methods for identification</article-title>. <source>J. Clin. Microbiol.</source> <volume>51</volume>, <fpage>1990</fpage>&#x02013;<lpage>1992</lpage>. <pub-id pub-id-type="doi">10.1128/JCM.03400-12</pub-id><pub-id pub-id-type="pmid">23554190</pub-id></citation>
</ref>
<ref id="B30">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Netto</surname> <given-names>L. N.</given-names></name> <name><surname>Leal</surname> <given-names>C. A. G.</given-names></name> <name><surname>Figueiredo</surname> <given-names>H. C. P.</given-names></name></person-group> (<year>2011</year>). <article-title><italic>Streptococcus dysgalactiae</italic> as an agent of septicaemia in Nile tilapia, <italic>Oreochromis niloticus</italic> (L.)</article-title>. <source>J. Fish Dis.</source> <volume>34</volume>, <fpage>251</fpage>&#x02013;<lpage>254</lpage>. <pub-id pub-id-type="doi">10.1111/j.1365-2761.2010.01220.x</pub-id><pub-id pub-id-type="pmid">21306592</pub-id></citation>
</ref>
<ref id="B31">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nguyen</surname> <given-names>N. P.</given-names></name> <name><surname>Warnow</surname> <given-names>T.</given-names></name> <name><surname>Pop</surname> <given-names>M.</given-names></name> <name><surname>White</surname> <given-names>B.</given-names></name></person-group> (<year>2016</year>). <article-title>A perspective on 16S rRNA operational taxonomic unit clustering using sequence similarity</article-title>. <source>Npj Biofilms Microbiomes</source>. <volume>2</volume>:<fpage>16004</fpage>. <pub-id pub-id-type="doi">10.1038/npjbiofilms.2016.4</pub-id><pub-id pub-id-type="pmid">28721243</pub-id></citation>
</ref>
<ref id="B32">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nomoto</surname> <given-names>R.</given-names></name> <name><surname>Unose</surname> <given-names>N.</given-names></name> <name><surname>Shimahara</surname> <given-names>Y.</given-names></name> <name><surname>Nakamura</surname> <given-names>A.</given-names></name> <name><surname>Hirae</surname> <given-names>T.</given-names></name> <name><surname>Maebuchi</surname> <given-names>K.</given-names></name> <etal/></person-group>. (<year>2006</year>). <article-title>Characterization of lancefield group C <italic>Streptococcus dysgalactiae</italic> isolated from farmed fish</article-title>. <source>J. Fish Dis.</source> <volume>29</volume>, <fpage>673</fpage>&#x02013;<lpage>682</lpage>. <pub-id pub-id-type="doi">10.1111/j.1365-2761.2006.00763.x</pub-id><pub-id pub-id-type="pmid">17169114</pub-id></citation>
</ref>
<ref id="B33">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nurk</surname> <given-names>S.</given-names></name> <name><surname>Bankevich</surname> <given-names>A.</given-names></name> <name><surname>Antipov</surname> <given-names>D.</given-names></name> <name><surname>Gurevich</surname> <given-names>A.</given-names></name> <name><surname>Korobeynikov</surname> <given-names>A.</given-names></name> <name><surname>Lapidus</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title>Assembling genomes and mini-metagenomes from highly chimeric reads</article-title>. <source>Lect. Notes Comput. Sci.</source> <volume>20</volume>, <fpage>714</fpage>&#x02013;<lpage>737</lpage>. <pub-id pub-id-type="doi">10.1007/978-3-642-37195-0_13</pub-id></citation>
</ref>
<ref id="B34">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>&#x000D8;stergaard</surname> <given-names>C.</given-names></name> <name><surname>Hansen</surname> <given-names>S. G. K.</given-names></name> <name><surname>M&#x000F8;ller</surname> <given-names>J. K.</given-names></name></person-group> (<year>2015</year>). <article-title>Rapid first-line discrimination of methicillin resistant Staphylococcus aureus strains using MALDI-TOF MS</article-title>. <source>Int. J. Med. Microbiol.</source> <volume>305</volume>, <fpage>838</fpage>&#x02013;<lpage>847</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijmm.2015.08.002</pub-id><pub-id pub-id-type="pmid">26365166</pub-id></citation>
</ref>
<ref id="B35">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Patel</surname> <given-names>J. B.</given-names></name></person-group> (<year>2001</year>). <article-title>16S rRNA gene sequencing for bacterial pathogen identification in the clinical laboratory</article-title>. <source>Mol. Diagn.</source> <volume>6</volume>, <fpage>313</fpage>&#x02013;<lpage>321</lpage>. <pub-id pub-id-type="doi">10.2165/00066982-200106040-00012</pub-id><pub-id pub-id-type="pmid">11774196</pub-id></citation>
</ref>
<ref id="B36">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Poyart</surname> <given-names>C.</given-names></name> <name><surname>Quesne</surname> <given-names>G.</given-names></name> <name><surname>Coulon</surname> <given-names>S.</given-names></name> <name><surname>Berche</surname> <given-names>P.</given-names></name> <name><surname>Trieu-Cuot</surname> <given-names>P.</given-names></name></person-group> (<year>1998</year>). <article-title>Identification of streptococci to species level by sequencing the gene encoding the manganese-dependent superoxide dismutase</article-title>. <source>J. Clin. Microbiol.</source> <volume>36</volume>, <fpage>41</fpage>&#x02013;<lpage>47</lpage>. <pub-id pub-id-type="pmid">9431917</pub-id></citation>
</ref>
<ref id="B37">
<citation citation-type="book"><person-group person-group-type="author"><collab>R Core Team</collab></person-group> (<year>2013</year>). <source>R: A Language and Environment for Statistical Computing.</source> <publisher-loc>Vienna</publisher-loc>: <publisher-name>R Foundation for Statistical Computing</publisher-name>.</citation>
</ref>
<ref id="B38">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rizzardi</surname> <given-names>K.</given-names></name> <name><surname>Wahab</surname> <given-names>T.</given-names></name> <name><surname>Jernberg</surname> <given-names>C.</given-names></name></person-group> (<year>2013</year>). <article-title>Rapid subtyping of <italic>Yersinia enterocolitica</italic> by matrix-assisted laserdesorption ionization-time of flight mass spectrometry (MALDI-TOF MS) for diagnostics and surveillance</article-title>. <source>J. Clin. Microbiol.</source> <volume>51</volume>, <fpage>4200</fpage>&#x02013;<lpage>4203</lpage>. <pub-id pub-id-type="doi">10.1128/JCM.01416-13</pub-id><pub-id pub-id-type="pmid">24048527</pub-id></citation>
</ref>
<ref id="B39">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Romero-G&#x000F3;mez</surname> <given-names>M. P.</given-names></name> <name><surname>G&#x000F3;mez-Gil</surname> <given-names>R.</given-names></name> <name><surname>Pa&#x000F1;o-Pardo</surname> <given-names>J. R.</given-names></name> <name><surname>Mingorance</surname> <given-names>J.</given-names></name></person-group> (<year>2012</year>). <article-title>Identification and susceptibility testing of microorganism by direct inoculation from positive blood culture bottles by combining MALDI-TOF and Vitek-2 Compact is rapid and effective</article-title>. <source>J. Infect.</source> <volume>65</volume>, <fpage>513</fpage>&#x02013;<lpage>520</lpage>. <pub-id pub-id-type="doi">10.1016/j.jinf.2012.08.013</pub-id><pub-id pub-id-type="pmid">22940580</pub-id></citation>
</ref>
<ref id="B40">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sauget</surname> <given-names>M.</given-names></name> <name><surname>van der Mee-Marquet</surname> <given-names>N.</given-names></name> <name><surname>Bertrand</surname> <given-names>X.</given-names></name> <name><surname>Hocquet</surname> <given-names>D.</given-names></name></person-group> (<year>2016</year>). <article-title>Matrix-assisted laser desorption ionization-time of flight Mass spectrometry can detect <italic>Staphylococcus aureus</italic> clonal complex 398</article-title>. <source>J. Microbiol. Methods.</source> <volume>127</volume>, <fpage>20</fpage>&#x02013;<lpage>23</lpage>. <pub-id pub-id-type="doi">10.1016/j.mimet.2016.05.010</pub-id><pub-id pub-id-type="pmid">27192668</pub-id></citation>
</ref>
<ref id="B41">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Segawa</surname> <given-names>S.</given-names></name> <name><surname>Nishimura</surname> <given-names>M.</given-names></name> <name><surname>Sogawa</surname> <given-names>K.</given-names></name> <name><surname>Tsuchida</surname> <given-names>S.</given-names></name> <name><surname>Murata</surname> <given-names>S.</given-names></name> <name><surname>Watanabe</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>Identification of Nocardia species using matrix-assisted laser desorption/ionization&#x02013;time-of-flight mass spectrometry</article-title>. <source>Clin. Proteomics.</source> <volume>12</volume>:<fpage>6</fpage>. <pub-id pub-id-type="doi">10.1186/s12014-015-9078-5</pub-id><pub-id pub-id-type="pmid">25931991</pub-id></citation>
</ref>
<ref id="B42">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Seibold</surname> <given-names>E.</given-names></name> <name><surname>Maier</surname> <given-names>T.</given-names></name> <name><surname>Kostrzewa</surname> <given-names>M.</given-names></name> <name><surname>Zeman</surname> <given-names>E.</given-names></name> <name><surname>Splettstoesser</surname> <given-names>W.</given-names></name></person-group> (<year>2010</year>). <article-title>Identification of <italic>Francisella tularensis</italic> by whole-cell matrix-assisted laser desorption ionization-time of flight mass spectrometry: fast, reliable, robust, and cost-effective differentiation on species and subspecies levels</article-title>. <source>J. Clin. Microbiol.</source> <volume>48</volume>, <fpage>1061</fpage>&#x02013;<lpage>1069</lpage>. <pub-id pub-id-type="doi">10.1128/JCM.01953-09</pub-id><pub-id pub-id-type="pmid">20181907</pub-id></citation>
</ref>
<ref id="B43">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Seng</surname> <given-names>P.</given-names></name> <name><surname>Drancourt</surname> <given-names>M.</given-names></name> <name><surname>Gouriet</surname> <given-names>F.</given-names></name> <name><surname>Scola</surname> <given-names>B.</given-names></name> <name><surname>Fournier</surname> <given-names>P.</given-names></name> <name><surname>Rolain</surname> <given-names>J. M.</given-names></name> <etal/></person-group>. (<year>2009</year>). <article-title>Ongoing revolution in bacteriology: routine identification of bacteria by matrix-assisted laser desorption ionization time-of-flight mass spectrometry</article-title>. <source>Clin. Infect. Dis.</source> <volume>49</volume>, <fpage>543</fpage>&#x02013;<lpage>551</lpage>. <pub-id pub-id-type="doi">10.1086/600885</pub-id><pub-id pub-id-type="pmid">19583519</pub-id></citation>
</ref>
<ref id="B44">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Singhal</surname> <given-names>N.</given-names></name> <name><surname>Kumar</surname> <given-names>M.</given-names></name> <name><surname>Kanaujia</surname> <given-names>P. K.</given-names></name> <name><surname>Virdi</surname> <given-names>J. S.</given-names></name></person-group> (<year>2015</year>). <article-title>MALDI-TOF mass spectrometry: an emerging technology for microbial identification and diagnosis</article-title>. <source>Front. Microbiol.</source> <volume>6</volume>:<fpage>791</fpage>. <pub-id pub-id-type="doi">10.3389/fmicb.2015.00791</pub-id><pub-id pub-id-type="pmid">26300860</pub-id></citation>
</ref>
<ref id="B45">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Soto</surname> <given-names>E.</given-names></name> <name><surname>Wang</surname> <given-names>R.</given-names></name> <name><surname>Wiles</surname> <given-names>J.</given-names></name> <name><surname>Baumgartner</surname> <given-names>W.</given-names></name> <name><surname>Green</surname> <given-names>C.</given-names></name> <name><surname>Plumb</surname> <given-names>J.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>Characterization of isolates of <italic>Streptococcus agalactiae</italic> from diseased farmed and wild marine fish from the U.S. Gulf Coast, Latin America, and Thailand</article-title>. <source>J. Aquat. Anim. Health.</source> <volume>27</volume>, <fpage>123</fpage>&#x02013;<lpage>134</lpage>. <pub-id pub-id-type="doi">10.1080/08997659.2015.1032439</pub-id><pub-id pub-id-type="pmid">26030196</pub-id></citation>
</ref>
<ref id="B46">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tamura</surname> <given-names>K.</given-names></name> <name><surname>Stecher</surname> <given-names>G.</given-names></name> <name><surname>Peterson</surname> <given-names>D.</given-names></name> <name><surname>Filipski</surname> <given-names>A.</given-names></name> <name><surname>Kumar</surname> <given-names>S.</given-names></name></person-group> (<year>2013</year>). <article-title>MEGA6: molecular evolutionary genetics analysis version 6.0</article-title>. <source>Mol. Biol. Evol.</source> <volume>30</volume>, <fpage>2725</fpage>&#x02013;<lpage>2729</lpage>. <pub-id pub-id-type="doi">10.1093/molbev/mst197</pub-id><pub-id pub-id-type="pmid">24132122</pub-id></citation>
</ref>
<ref id="B47">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tavares</surname> <given-names>G. C.</given-names></name> <name><surname>Costa</surname> <given-names>F. A. A.</given-names></name> <name><surname>Santos</surname> <given-names>R. R.</given-names></name> <name><surname>Barony</surname> <given-names>G. M.</given-names></name> <name><surname>Leal</surname> <given-names>C. A. G.</given-names></name> <name><surname>Figueiredo</surname> <given-names>H. C. P.</given-names></name></person-group> (<year>2016</year>). <article-title>Nonlethal sampling methods for diagnosis of <italic>Streptococcus agalactiae</italic> infection in <italic>Nile tilapia, Oreochromis niloticus</italic> (L.)</article-title>. <source>Aquaculture</source> <volume>454</volume>, <fpage>237</fpage>&#x02013;<lpage>242</lpage>. <pub-id pub-id-type="doi">10.1016/j.aquaculture.2015.12.028</pub-id></citation>
</ref>
<ref id="B48">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ueda</surname> <given-names>O.</given-names></name> <name><surname>Tanaka</surname> <given-names>S.</given-names></name> <name><surname>Nagasawa</surname> <given-names>Z.</given-names></name> <name><surname>Hanaki</surname> <given-names>H.</given-names></name> <name><surname>Shobuike</surname> <given-names>T.</given-names></name> <name><surname>Miyamoto</surname> <given-names>H.</given-names></name></person-group> (<year>2016</year>). <article-title>Development of a novel matrix-assisted laser desorption/ionization time-of-flight mass spectrum (MALDI-TOF-MS)-based typing method to identify meticillin-resistant <italic>Staphylococcus aureus</italic> clones</article-title>. <source>J. Hosp. Infect.</source> <volume>90</volume>, <fpage>147</fpage>&#x02013;<lpage>155</lpage>. <pub-id pub-id-type="doi">10.1016/j.jhin.2014.11.025</pub-id><pub-id pub-id-type="pmid">25922338</pub-id></citation>
</ref>
<ref id="B49">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vendrell</surname> <given-names>D.</given-names></name> <name><surname>Balc&#x000E1;zar</surname> <given-names>J. L.</given-names></name> <name><surname>Ruiz-Zarzuela</surname> <given-names>I.</given-names></name> <name><surname>Blas</surname> <given-names>I.</given-names></name> <name><surname>Giron&#x000E9;s</surname> <given-names>O.</given-names></name> <name><surname>M&#x000FA;zquiz</surname> <given-names>L.</given-names></name></person-group> (<year>2006</year>). <article-title><italic>Lactococcus garvieae</italic> in fish: a review</article-title>. <source>Comp. Immunol. Microbiol. Infect. Dis.</source> <volume>29</volume>, <fpage>177</fpage>&#x02013;<lpage>198</lpage>. <pub-id pub-id-type="doi">10.1016/j.cimid.2006.06.003</pub-id><pub-id pub-id-type="pmid">16935332</pub-id></citation>
</ref>
<ref id="B50">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>V&#x0011B;trovsk&#x000FD;</surname> <given-names>T.</given-names></name> <name><surname>Baldrian</surname> <given-names>P.</given-names></name></person-group> (<year>2013</year>). <article-title>The variability of the 16S rRNA gene in bacterial genomes and its consequences for bacterial community analyses</article-title>. <source>PLoS ONE</source> <volume>8</volume>:<fpage>e57923</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0057923</pub-id><pub-id pub-id-type="pmid">23460914</pub-id></citation>
</ref>
</ref-list>
</back>
</article>