Journal
MICROBIOLOGY SPECTRUM
Volume 10, Issue 4, Pages -Publisher
AMER SOC MICROBIOLOGY
DOI: 10.1128/spectrum.01364-22
Keywords
Klebsiella pneumoniae; nonconjugative; virulence plasmid; resistance plasmid; IncN3 plasmid; mobilization
Categories
Funding
- National Key R&D Program of China [2018YFE0102400]
- Science and Technology Commission of Shanghai Municipality [19JC1413004, 19430750600]
- Medical Engineering Cross Research Fund of Shanghai Jiao Tong University [YG2019ZDA14]
- Talent Development Project for 3-years Action Plan of the Shanghai Public Health System Construction [GWV-10.2-YQ50]
- Clinical Science and Technology Innovation project of SHCD [SHDC22021212]
- Guangci Discipline Group Construction of Public Health and Disaster Emergency Center [XKQ-09]
Ask authors/readers for more resources
Klebsiella pneumoniae poses a critical challenge to clinical and public health due to the global spread of conjugative and nonconjugative plasmids associated with carbapenem-resistant, hypervirulent, and even dual-resistant and hypervirulent strains. This study identified a clinically significant CRKP strain and demonstrated the high conjugation ability of its IncN3 plasmid, which can mobilize nonconjugative virulence or resistance plasmids. The findings suggest a need for further monitoring of the transmission of pathogenicity and genetic evolution of carbapenem-resistant and hypervirulent K. pneumoniae strains.
Klebsiella pneumoniae poses a critical challenge to clinical and public health. Along with conjugative plasmids, nonconjugative resistance or virulence plasmids associated with carbapenem-resistant K. pneumoniae (CRKP), hypervirulent K. pneumoniae (hvKP), and even carbapenem-resistant and hypervirulent K. pneumoniae (CR-hvKP) strains have been spreading globally. In this study, a clinical CRKP strain KP2648 was isolated, and the transferability of its plasmids was assessed using conjugation experiments. The transconjugants were characterized by polymerase chain reaction (PCR) detection, XbaI and S1-pulsed-field gel electrophoresis (PFGE), and/or whole-genome sequencing. Genetically modified IncN3 plasmids were employed to elucidate the self-transferability and the mobilization mechanisms. KP2648 has three natural plasmids: a nonconjugative IncFIB/IncHI3B virulence plasmid, a nonconjugative IncFII/IncR carbapenem-resistant plasmid, and a selftransferable IncN3 plasmid with a high conjugation frequency (7.54 6 1.06)similar to 1021. The IncN3 plasmid could mobilize the coexisting nonconjugative virulence/resistance plasmids either directly or by employing intermediate E. coli with two forms: a hybrid plasmid fused with IncN3 or a cotransfer with the helper plasmid, IncN3. Various mobile genetic elements, including ISKpn74, ISKpn14, IS26, ISShes11, ISAba11, and Tn3, are involved in the genetic transposition of diverse hybrid plasmids and the cotransfer process during the intra/interspecies transmission. IMPORTANCE Nowadays, the underlying mobilization mechanism and evolutionary processes of nonconjugative virulence or resistance plasmids in Klebsiella pneumoniae remain poorly understood. Our study revealed the high conjugation ability of IncN3 plasmid isolated from carbapenem-resistant K. pneumoniae and confirmed its capability to mobilize the nonconjugative virulence or resistance plasmids. The self-transferable IncN3 plasmid could facilitate the transmission of pathogenicity and genetic evolution of carbapenem-resistant and hypervirulent K. pneumoniae, including hv-CRKP (virulence plasmid obtained by carbapenem-resistant K. pneumoniae) and CR-hvKP (resistance plasmid obtained by hypervirulent K. pneumoniae), warranting further monitoring.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available