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Molecular characteristics, fitness, and virulence of high-risk and non-high-risk clones of carbapenemase-producing Klebsiella pneumoniae

الخصائص الجزيئية واللياقة البدنية والفوعة للنسخ عالية الخطورة وغير عالية الخطورة من الكليبسيلا الرئوية المنتجة للكاربابينيماز
Authors: Anni‐Maria Örmälä‐Tiznado; Lisa Allander; Makaoui Maâtallah; Muhammad Humaun Kabir; Sylvain Brisse; Linus Sandegren; Sheetal Patpatia; +2 Authors
APC: 2,977.53 EUR

Molecular characteristics, fitness, and virulence of high-risk and non-high-risk clones of carbapenemase-producing Klebsiella pneumoniae

Abstract

ABSTRACT Extensively drug-resistant (XDR) Klebsiella pneumoniae inflict a notable burden on healthcare worldwide. Of specific concern are strains producing carbapenem-hydrolyzing enzymes, as the therapeutic options for these strains are still very limited. Specific sequence types of K. pneumoniae have been noted for their epidemic occurrence globally, but the mechanisms behind the success of specific clones remain unclear. Herein, we have characterized 20 high-risk clones (HiRCs) and 10 non-HiRCs of XDR K. pneumoniae , exploring factors connected to the epidemiological success of some clones. Isolates were subjected to core genome multilocus sequence typing analysis to determine the clonal relationships of the isolates and subsequently characterized with regard to features known to be linked to overall bacterial fitness and virulence. The genomes were analyzed in silico for capsule types, O antigens, virulence factors, antimicrobial resistance genes, prophages, and CRISPR-Cas loci. In vitro growth experiments were conducted to retrieve proxies for absolute and relative fitness for 11 HiRC and 9 non-HiRC isolates selected based on the clonal groups they belonged to, and infections in a Galleria mellonella insect model were used to evaluate the virulence of the isolates in vivo . This study did not find evidence that virulence factors, prophages, CRISPR-Cas loci, or fitness measured in vitro alone would contribute to the global epidemiological success of specific clones of carbapenemase-producing XDR K. pneumoniae . However, this study did find the HiRC group to be more virulent than the non-HiRC group when measured in vivo in a model with G. mellonella . This suggests that the virulence and epidemiological success of certain clones of K. pneumoniae cannot be explained by individual traits investigated in this study and thus warrant further experiments in the future. IMPORTANCE Herein, we explored potential explanations for the successfulness of some epidemic or high-risk clones of carbapenemase-producing Klebsiella pneumoniae . We found differences in mortality in a larva model but found no clear genomic differences in known virulence markers. Most of the research on virulence in K. pneumoniae has been focused on hypervirulent strains, but here, we try to understand differences within the group of highly resistant strains. The results from the larva virulence model could be used to design experiments in higher animals. Moreover, the data could provide further support to a differentiated infection control approach against extensively drug-resistant strains, based on their classification as high-risk clones.

Countries
Finland, Sweden
Keywords

Infektionsmedicin, FOS: Basic medicine, Antimicrobial resistance, Gene, Endocrinology, Fitness, Flow cytometry, 11832 Microbiology and virology, Dynamics and Pathogenesis of Cholera Bacteria, Genome, Ecology, Virulence, Life Sciences, QR1-502, fitness, Anti-Bacterial Agents, Klebsiella pneumoniae, Galleria mellonella, Larva, CRISPR, Physical Sciences, Molecular Medicine, competition, Research Article, Infectious Medicine, Genotype, Virulence Factors, Multilocus sequence typing, Microbial Sensitivity Tests, Microbiology, beta-Lactamases, Microbiology in the medical area, Global Challenge of Antibiotic Resistance in Bacteria, Bacterial Proteins, Biochemistry, Genetics and Molecular Biology, Mikrobiologi inom det medicinska området, Genetics, Escherichia coli, Animals, antimicrobial resistance, Bacteriophage, Biology, Competition, ESKAPE Pathogens, flow cytometry, In silico, Typing, Ecology and Evolution of Viruses in Ecosystems, Klebsiella Infections, Clone Cells, virulence, FOS: Biological sciences, Environmental Science, Prophage

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Top 10%
Average
Top 10%
Green
gold
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