Targeted sequencing of Enterobacterales bacteria using CRISPR-Cas9 enrichment and Oxford Nanopore Technologies

ABSTRACT Sequencing DNA directly from patient samples enables faster pathogen characterization compared to traditional culture-based approaches, but often yields insufficient sequence data for effective downstream analysis. CRISPR-Cas9 enrichment is designed to improve the yield of low abundance seq...

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Main Authors: Hugh Cottingham, Louise M. Judd, Jessica A. Wisniewski, Ryan R. Wick, Thomas D. Stanton, Ben Vezina, Nenad Macesic, Anton Y. Peleg, Iruka N. Okeke, Kathryn E. Holt, Jane Hawkey
Format: Article
Language:English
Published: American Society for Microbiology 2025-02-01
Series:mSystems
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Online Access:https://journals.asm.org/doi/10.1128/msystems.01413-24
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author Hugh Cottingham
Louise M. Judd
Jessica A. Wisniewski
Ryan R. Wick
Thomas D. Stanton
Ben Vezina
Nenad Macesic
Anton Y. Peleg
Iruka N. Okeke
Kathryn E. Holt
Jane Hawkey
author_facet Hugh Cottingham
Louise M. Judd
Jessica A. Wisniewski
Ryan R. Wick
Thomas D. Stanton
Ben Vezina
Nenad Macesic
Anton Y. Peleg
Iruka N. Okeke
Kathryn E. Holt
Jane Hawkey
author_sort Hugh Cottingham
collection DOAJ
description ABSTRACT Sequencing DNA directly from patient samples enables faster pathogen characterization compared to traditional culture-based approaches, but often yields insufficient sequence data for effective downstream analysis. CRISPR-Cas9 enrichment is designed to improve the yield of low abundance sequences but has not been thoroughly explored with Oxford Nanopore Technologies (ONT) for use in clinical bacterial epidemiology. We designed CRISPR-Cas9 guide RNAs to enrich the human pathogen Klebsiella pneumoniae, by targeting multi-locus sequence type (MLST) and transfer RNA (tRNA) genes, as well as common antimicrobial resistance (AMR) genes and the resistance-associated integron gene intI1. We validated enrichment performance in 20 K. pneumoniae isolates, finding that guides generated successful enrichment across all conserved sites except for one AMR gene in two isolates. Enrichment of MLST genes led to a correct allele call in all seven loci for 8 out of 10 isolates that had depth of 30× or more in these regions. We then compared enriched and unenriched sequencing of three human fecal samples spiked with K. pneumoniae at varying abundance. Enriched sequencing generated 56× and 11.3× the number of AMR and MLST reads, respectively, compared to unenriched sequencing, and required approximately one-third of the computational storage space. Targeting the intI1 gene often led to detection of 10–20 proximal resistance genes due to the long reads produced by ONT sequencing. We demonstrated that CRISPR-Cas9 enrichment combined with ONT sequencing enabled improved genomic characterization outcomes over unenriched sequencing of patient samples. This method could be used to inform infection control strategies by identifying patients colonized with high-risk strains.IMPORTANCEUnderstanding bacteria in complex samples can be challenging due to their low abundance, which often results in insufficient data for analysis. To improve the detection of harmful bacteria, we implemented a technique aimed at increasing the amount of data from target pathogens when combined with modern DNA sequencing technologies. Our technique uses CRISPR-Cas9 to target specific gene sequences in the bacterial pathogen Klebsiella pneumoniae and improve recovery from human stool samples. We found our enrichment method to significantly outperform traditional methods, generating far more data originating from our target genes. Additionally, we developed new computational techniques to further enhance the analysis, providing a thorough method for characterizing pathogens from complex biological samples.
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spelling doaj-art-a5dadaeb60874b81badeec94c9fa4cc72025-08-20T03:16:22ZengAmerican Society for MicrobiologymSystems2379-50772025-02-0110210.1128/msystems.01413-24Targeted sequencing of Enterobacterales bacteria using CRISPR-Cas9 enrichment and Oxford Nanopore TechnologiesHugh Cottingham0Louise M. Judd1Jessica A. Wisniewski2Ryan R. Wick3Thomas D. Stanton4Ben Vezina5Nenad Macesic6Anton Y. Peleg7Iruka N. Okeke8Kathryn E. Holt9Jane Hawkey10Department of Infectious Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of Infectious Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of Infectious Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of Infectious Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of Infectious Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of Infectious Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of Infectious Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of Infectious Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of Pharmaceutical Microbiology, Faculty of Pharmacy, University of Ibadan, Ibadan, NigeriaDepartment of Infectious Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of Infectious Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, AustraliaABSTRACT Sequencing DNA directly from patient samples enables faster pathogen characterization compared to traditional culture-based approaches, but often yields insufficient sequence data for effective downstream analysis. CRISPR-Cas9 enrichment is designed to improve the yield of low abundance sequences but has not been thoroughly explored with Oxford Nanopore Technologies (ONT) for use in clinical bacterial epidemiology. We designed CRISPR-Cas9 guide RNAs to enrich the human pathogen Klebsiella pneumoniae, by targeting multi-locus sequence type (MLST) and transfer RNA (tRNA) genes, as well as common antimicrobial resistance (AMR) genes and the resistance-associated integron gene intI1. We validated enrichment performance in 20 K. pneumoniae isolates, finding that guides generated successful enrichment across all conserved sites except for one AMR gene in two isolates. Enrichment of MLST genes led to a correct allele call in all seven loci for 8 out of 10 isolates that had depth of 30× or more in these regions. We then compared enriched and unenriched sequencing of three human fecal samples spiked with K. pneumoniae at varying abundance. Enriched sequencing generated 56× and 11.3× the number of AMR and MLST reads, respectively, compared to unenriched sequencing, and required approximately one-third of the computational storage space. Targeting the intI1 gene often led to detection of 10–20 proximal resistance genes due to the long reads produced by ONT sequencing. We demonstrated that CRISPR-Cas9 enrichment combined with ONT sequencing enabled improved genomic characterization outcomes over unenriched sequencing of patient samples. This method could be used to inform infection control strategies by identifying patients colonized with high-risk strains.IMPORTANCEUnderstanding bacteria in complex samples can be challenging due to their low abundance, which often results in insufficient data for analysis. To improve the detection of harmful bacteria, we implemented a technique aimed at increasing the amount of data from target pathogens when combined with modern DNA sequencing technologies. Our technique uses CRISPR-Cas9 to target specific gene sequences in the bacterial pathogen Klebsiella pneumoniae and improve recovery from human stool samples. We found our enrichment method to significantly outperform traditional methods, generating far more data originating from our target genes. Additionally, we developed new computational techniques to further enhance the analysis, providing a thorough method for characterizing pathogens from complex biological samples.https://journals.asm.org/doi/10.1128/msystems.01413-24Oxford NanoporeCRISPR-Cas9 enrichmentKlebsiellaEnterobacteralesmetagenomics
spellingShingle Hugh Cottingham
Louise M. Judd
Jessica A. Wisniewski
Ryan R. Wick
Thomas D. Stanton
Ben Vezina
Nenad Macesic
Anton Y. Peleg
Iruka N. Okeke
Kathryn E. Holt
Jane Hawkey
Targeted sequencing of Enterobacterales bacteria using CRISPR-Cas9 enrichment and Oxford Nanopore Technologies
mSystems
Oxford Nanopore
CRISPR-Cas9 enrichment
Klebsiella
Enterobacterales
metagenomics
title Targeted sequencing of Enterobacterales bacteria using CRISPR-Cas9 enrichment and Oxford Nanopore Technologies
title_full Targeted sequencing of Enterobacterales bacteria using CRISPR-Cas9 enrichment and Oxford Nanopore Technologies
title_fullStr Targeted sequencing of Enterobacterales bacteria using CRISPR-Cas9 enrichment and Oxford Nanopore Technologies
title_full_unstemmed Targeted sequencing of Enterobacterales bacteria using CRISPR-Cas9 enrichment and Oxford Nanopore Technologies
title_short Targeted sequencing of Enterobacterales bacteria using CRISPR-Cas9 enrichment and Oxford Nanopore Technologies
title_sort targeted sequencing of enterobacterales bacteria using crispr cas9 enrichment and oxford nanopore technologies
topic Oxford Nanopore
CRISPR-Cas9 enrichment
Klebsiella
Enterobacterales
metagenomics
url https://journals.asm.org/doi/10.1128/msystems.01413-24
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