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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Lithuanian Universit...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
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Versatile use of bacteriocin KvarM: Intravenous treatment for K. pneumoniae sepsis or oral treatment for K. pneumoniae gut colonization

Authors: Ražanskienė, Aušra; Karaliūtė, Indrė; Vaddi, Swapna; Misiūnas, Audrius; Ramonaitė, Rima; Skiecevičienė, Jurgita; Gleba, Yuri;

Versatile use of bacteriocin KvarM: Intravenous treatment for K. pneumoniae sepsis or oral treatment for K. pneumoniae gut colonization

Abstract

Klebsiella pneumoniae, a Gram-negative bacterium, poses a significant threat as a nosocomial pathogen due to its ability to rapidly develop resistance to various antibiotics. Gastrointestinal colonization by antibiotic-resistant strains among hospitalized patients not only increases the risk of nosocomial Klebsiella infections but also contributes to the dissemination of this pathogen within healthcare facilities. In this study, we investigate the efficacy of the bacteriocin KvarM in two different animal models to address K. pneumoniae sepsis and gut colonization. In our previous research, we characterized klebicin KvarM, a wide spectrum bacteriocin with activity against K. pneumoniae, K. quasipneumoniae, K. variicola, K. oxytoca, and K. aerogenes. Notably, KvarM exhibited significant activity against 85% of antibiotic-resistant clinical K. pneumoniae isolates. To assess the potential of KvarM in treating K. pneumoniae infections, we conducted experiments using murine models of sepsis and gastrointestinal colonization. In the sepsis model, mice were intraperitoneally infected with K. pneumoniae ATCC BAA 1705, and KvarM was administered intravenously either alone or in combination with meropenem. KvarM treatment resulted in a dose-dependent reduction in bacterial burden compared to the control group receiving the vehicle. Combination therapy with KvarM and meropenem exhibited superior efficacy compared to monotherapy with meropenem alone. For the gastrointestinal colonization model, we orally administered Eudragit®-coated KvarM to C57BL/6J mice after establishing colonization with K. pneumoniae strain ATCC 43816. The Eudragit coating protected KvarM from gastroduodenal proteases and enabled controlled release based on pH. Quantification of Klebsiella in fecal samples using the Klebsiella haemolysin gene (khe) as a marker revealed significant reductions in khe levels following treatment with Eudragit-coated KvarM, indicating a substantial decrease in K. pneumoniae gut colonization. In conclusion, our findings highlight the potential of bacteriocin KvarM as an intravenous treatment for K. pneumoniae sepsis. Moreover, orally administered KvarM, delivered using an Eudragit coating, shows promise as a preventive measure to target multidrug-resistant K. pneumoniae colonization in the gastrointestinal tract, potentially reducing the risk of infection and spread among hospitalized patients.

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Lithuania
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Keywords

FOS: Natural sciences. Biological sciences. Cell biology, Microbiology, Konferencijų tezės nerecenzuojamame leidinyje / Conference theses in non-peer-reviewed publication (T2), Medicina / Medicine (M001)

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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!
0
Average
Average
Average
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