bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Март 12, 2024
Abstract
Unified
strain
taxonomies
are
crucial
for
fostering
international
communication
in
microbiological
research
and
the
epidemiological
surveillance
of
bacterial
pathogens.
While
multilocus
sequence
typing
(MLST)
has
served
as
a
foundation
taxonomy
two
decades,
whole
genome
sequencing
enables
more
precise
classifications
significantly
improves
discriminatory
resolution.
The
core
genome-wide
extension
MLST
(known
cgMLST)
thus
holds
great
promise
genotyping
classification,
but
its
implementation
faces
challenges
that
include
missing
data,
potential
instability
cluster-based
nomenclatures,
necessity
to
ensure
backwards
compatibility
with
identifiers.
Life
Identification
Number
(LIN)
codes
offer
solution
by
providing
multi-level
classification
groups
inherently
stable.
Here,
we
present,
consolidate,
extend
cgMLST-based
LIN
code
approach.
We
first
develop
nicknaming
system
prefixes,
which
flexible
human-readable
nomenclatures.
Using
Klebsiella
pneumoniae
(Kp)
an
example,
nicknames
were
attributed
inheritance
from
identifiers,
perpetuating
legacy
nomenclatures
genomic
era.
show
while
7-gene
sometimes
conflates
unrelated
sublineages
into
same
ST,
highly
concordant
phylogenetic
relationships.
implement
this
novel
code-based
nomenclature
BIGSdb
platform,
illustrate,
Pathogenwatch,
how
it
can
also
be
used
other
epidemiology
platforms.
Finally,
demonstrate
value
tracking
diversity
within
high-risk
internationally
disseminated
clonal
Kp
protracted
outbreaks.
Given
stability,
precision,
flexibility,
recommend
adoption
taxonomic
approach
suggest
is
widely
applicable
Nature Communications,
Год журнала:
2024,
Номер
15(1)
Опубликована: Июнь 14, 2024
Abstract
Carbapenem-resistant
Klebsiella
pneumoniae
(CRKP)
are
of
particular
concern
due
to
the
spread
antibiotic
resistance
genes
associated
with
mobile
genetic
elements.
In
this
study,
we
collected
687
carbapenem-resistant
strains
recovered
among
clinical
samples
from
41
hospitals
in
nine
Southern
European
countries
(2016-2018).
We
identified
11
major
clonal
lineages,
most
isolates
belonging
high-risk
clones
ST258/512,
ST101,
ST11,
and
ST307.
bla
KPC-like
was
prevalent
carbapenemase-encoding
gene
(46%),
OXA-48
present
39%
isolates.
Through
combination
comparison
EURECA
collection
previous
EuSCAPE
(2013-2014),
investigated
circulating
Europe
exhibiting
regional
differences.
particularly
found
ST258/512
Greece,
Italy,
Spain,
ST101
Serbia
Romania,
NDM
ST11
OXA-48-like
ST14
Türkiye.
Genomic
surveillance
across
thus
provides
crucial
insights
for
local
risk
mapping
informs
necessary
adaptions
implementation
control
strategies.
The
hypervirulent
carbapenem-resistant
Klebsiella
pneumoniae
(hv-CRKP)
poses
a
substantial
challenge
to
the
global
health
care.
However,
mechanism
behind
its
evolution
and
transmission
remain
elusive.
Here,
four
virulence
plasmid
types
were
identified
from
310
hv-CRKP
isolates
collected
nationwide
during
2017–2018,
based
on
their
aerobactin
(
iuc
locus)
lineage
IncFIB
replicons.
Notably,
pIUC1-IncFIB(K)
37
pIUC1-IncFIB(Mar),
representing
two
epidemic
plasmids
in
Asia
Europe,
respectively,
accounted
for
>90%
of
episodes.
Analysis
494
K.
(376
2010–2013;
118
2017–2018)
2578
public
genomes
indicated
notable
role
IncFIB(Mar)
emergence
spread.
Conjugation
assays
showed
helper
could
efficiently
transfer
into
strain
uniquely
retromobilize
with
back
CRKP.
Thereafter,
either
lost
rapidly
or
recombined
,
generating
hybrid
pIUC1-IncFIB(Mar)
plasmid.
Our
findings
elucidated
formation,
evolution,
dissemination
trajectories
major
strains
different
regions.
Pathogens and Global Health,
Год журнала:
2022,
Номер
117(4), С. 328 - 341
Опубликована: Сен. 11, 2022
For
people
living
in
developed
countries
life
span
is
growing
at
a
faster
pace
than
ever.
One
of
the
main
reasons
for
such
success
attributable
to
introduction
and
extensive
use
clinical
practice
antibiotics
over
course
last
seven
decades.
In
hospital
settings,
Klebsiella
pneumoniae
represents
well-known
commonly
described
opportunistic
pathogen,
typically
characterized
by
resistance
several
antibiotic
classes.
On
other
hand,
broad
wedge
population
Low
and/or
Middle
Income
Countries
increasing
rapidly,
allowing
spread
commensal
bacteria
which
are
transmitted
via
human
contact.
Community
transmission
has
been
original
milieu
K.
isolates
an
outstanding
virulence
(hypervirulent).
These
two
characteristics,
also
defined
as
"pathotypes",
originally
emerged
different
pathways
evolutionary
history
pneumoniae.
long
time,
Sequence
Type
(ST),
combination
alleles
7
housekeeping
genes
Multi-Locus
Typing,
reliable
marker
pathotype:
multidrug-resistant
clones
(e.g.
ST258,
ST147,
ST101)
Western
world
hypervirulent
ST23,
ST65,
ST86)
Eastern.
Currently,
boundaries
separating
pathotypes
fading
away
due
factors,
we
witnessing
worrisome
convergence
certain
high-risk
clones.
Here
review
evidence
available
on
confluence
multidrug-resistance
hypervirulence
specific
BMC Infectious Diseases,
Год журнала:
2022,
Номер
22(1)
Опубликована: Июль 7, 2022
Klebsiella
pneumoniae
strains
have
been
divided
into
two
major
categories:
classical
K.
pneumoniae,
which
are
frequently
multidrug-resistant
and
cause
hospital-acquired
infections
in
patients
with
impaired
defenses,
hypervirulent
severe
community-acquired
disseminated
normal
hosts.
Both
types
of
may
lead
to
bacteremia
associated
significant
morbidity
mortality.
The
relative
burden
these
among
bloodstream
isolates
within
the
United
States
is
not
well
understood.
Nature Communications,
Год журнала:
2023,
Номер
14(1)
Опубликована: Дек. 2, 2023
Abstract
Klebsiella
pneumoniae
has
been
classified
into
two
types,
classical
K.
(cKP)
and
hypervirulent
(hvKP).
cKP
isolates
are
highly
diverse
important
causes
of
nosocomial
infections;
they
include
globally
disseminated
antibiotic-resistant
clones.
hvKP
sensitive
to
most
antibiotics
but
virulent,
causing
community-acquired
infections
in
healthy
individuals.
The
virulence
phenotype
is
associated
with
pathogenicity
loci
responsible
for
siderophore
hypermucoid
capsule
production.
Recently,
convergent
strains
,
which
possess
features
both
hvKP,
have
emerged
cause
much
concern.
Here,
we
screen
the
genomes
2,608
multidrug-resistant
from
United
States
identify
47
isolates.
We
perform
phenotypic
genomic
characterization
12
representative
These
contain
a
variety
antimicrobial
resistance
plasmids
plasmids.
Most
aerobactin
biosynthesis
genes
produce
more
siderophores
than
not
capsule.
Unexpectedly,
only
1
tested
level
consistent
murine
pneumonia
model.
findings
suggest
that
additional
studies
should
be
performed
clarify
whether
indeed
virulent
mouse
human
infections.
International Journal of Medical Microbiology,
Год журнала:
2024,
Номер
314, С. 151601 - 151601
Опубликована: Фев. 8, 2024
Klebsiella
(K.)
pneumoniae
is
a
ubiquitous
Gram-negative
bacterium
and
common
coloniser
of
animals
humans.
Today,
K.
one
the
most
persistent
nosocomial
pathogens
worldwide
poses
severe
threat/burden
to
public
health
by
causing
urinary
tract
infections,
pneumonia
bloodstream
infections.
Affected
infections
are
mainly
immunocompromised
individuals
hospitalised
patients.
In
recent
years,
new
type
has
emerged
associated
with
community-acquired
such
as
pyogenic
liver
abscess
in
otherwise
healthy
therefore
termed
hypervirulent
(hvKp).
The
aim
this
study
was
characterisation
isolates
properties
hypervirulence
from
Germany.
A
set
62
potentially
human
patients
compiled.
Inclusion
criteria
were
presence
at
least
determinant
that
been
previously
hypervirulence:
(I)
clinical
manifestation,
(II)
positive
string
test
marker
for
hypermucoviscosity,
(III)
virulence
genes
rmpA
and/or
rmpA2
magA.
Phenotypic
included
antimicrobial
resistance
testing
broth
microdilution.
Whole
genome
sequencing
(WGS)
performed
using
Illumina®
MiSeq,
NextSeq
investigate
genetic
repertoire
multi-locus
sequence
types
(ST),
capsule
(K),
further
collected
isolates.
For
selected
long-read
applied
plasmid
sequences
determinants
compared.
WGS
analyses
confirmed
several
signature
hvKp.
Among
them,
prevalent
siderophore
loci
iuc
ybt
regulator
rmpA2.
dominant
ST
among
hvKp
ST395
K2
K5;
both
have
described
our
data
multidrug-resistant
(MDR)
ST23
K1
second
abundant
study;
commonly
hypervirulence.
general,
beta-lactams
caused
production
extended-spectrum
beta-lactamases
(ESBL)
carbapenemases
observed
frequently
isolates,
confirming
threatening
rise
MDR-hvKp
strains.
Our
results
show
strains
carry
present
many
years
detection
carbapenemase
on
same
highly
problematic
requires
intensified
screening
molecular
surveillance.
However,
non-uniform
definition
complicates
their
detection.
Testing
hypermucoviscosity
alone
not
specific
enough
identify
Thus,
we
suggest
classification
should
be
only
fulfil
phenotypical
(severe
manifestations,
hypermucoviscosity)
but
also
two
e.g.
ybt,
International Journal of Molecular Sciences,
Год журнала:
2024,
Номер
25(10), С. 5487 - 5487
Опубликована: Май 17, 2024
Antimicrobial
resistance
(AMR)
is
one
of
the
most
critical
threats
to
global
public
health
in
21st
century,
causing
a
large
number
deaths
every
year
both
high-income
and
low-
middle-income
countries.
Vaccines
monoclonal
antibodies
can
be
exploited
prevent
treat
diseases
caused
by
AMR
pathogens,
thereby
reducing
antibiotic
use
decreasing
selective
pressure
that
favors
emergence
resistant
strains.
Here,
differences
mechanism
action
vaccines
compared
antibiotics
are
discussed.
The
state
art
for
vaccine
technologies
reviewed,
with
particular
focus
on
approaches
validated
clinical
studies.
By
underscoring
scope
limitations
different
emerging
technologies,
this
review
points
out
complementary
fighting
AMR.
Gaps
antigen
discovery
some
as
well
challenges
associated
development
these
therapies
against
highlighted.
Microbiology Spectrum,
Год журнала:
2022,
Номер
10(3)
Опубликована: Апрель 18, 2022
Extensively
drug-resistant
Klebsiella
pneumoniae
causing
major
outbreaks
and
severe
infections
has
become
a
significant
challenge
for
health
care
systems
worldwide.
Rapid
resistance
development
against
last-resort
therapeutics
like
ceftazidime-avibactam
is
driver
the
accelerated
emergence
of
such
pathogens.
are
a
leading
cause
of
healthcare-associated
infections
worldwide.
In
particular,
strains
expressing
extended-spectrum
β-lactamases
(ESBLs)
and
carbapenemases
pose
serious
treatment
challenges,
the
World
Health
Organization
(WHO)
to
designate
ESBL
carbapenem-resistant
Enterobacteriaceae
as
'critical'
threats
human
health.
Research
efforts
combat
these
pathogens
can
be
supported
by
accessibility
diverse
clinically
relevant
isolates
for
testing
novel
therapeutics.
Here,
we
describe
panel
100