A Comprehensive Genomic Analysis of the Emergent <i>Klebsiella pneumoniae</i> ST16 Lineage: Virulence, Antimicrobial Resistance and a Comparison with the Clinically Relevant ST11 Strain

<i>Klebsiella pneumoniae</i> is considered an opportunistic pathogen frequently involved with healthcare-associated infections. The genome of <i>K. pneumoniae</i> is versatile, harbors diverse virulence factors and easily acquires and exchanges resistance plasmids, facilitati...

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Main Authors: Romário Oliveira de Sales, Laura Leaden, Letícia Busato Migliorini, Patricia Severino
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/11/12/1394
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author Romário Oliveira de Sales
Laura Leaden
Letícia Busato Migliorini
Patricia Severino
author_facet Romário Oliveira de Sales
Laura Leaden
Letícia Busato Migliorini
Patricia Severino
author_sort Romário Oliveira de Sales
collection DOAJ
description <i>Klebsiella pneumoniae</i> is considered an opportunistic pathogen frequently involved with healthcare-associated infections. The genome of <i>K. pneumoniae</i> is versatile, harbors diverse virulence factors and easily acquires and exchanges resistance plasmids, facilitating the emergence of new threatening clones. In the last years, ST16 has been described as an emergent, clinically relevant strain, increasingly associated with outbreaks, and carrying virulence factors (such as ICE<i>Kp</i>, <i>iuc</i>, <i>rmpADC/2</i>) and a diversity of resistance genes. However, a far-reaching phylogenetic study of ST16, including geographically, clinically and temporally distributed isolates is not available. In this work, we analyzed all publicly available ST16 <i>K. pneumoniae</i> genomes in terms of virulence factors, including capsular lipopolysaccharide and polysaccharide diversity, plasmids and antimicrobial resistance genes. A core genome SNP analysis shows that less than 1% of studied sites were variant sites, with a median pairwise single nucleotide polymorphism difference of 87 SNPs. The number and diversity of antimicrobial resistance genes, but not of virulence-related genes, increased consistently in ST16 strains during the studied period. A genomic comparison between ST16 and the high-risk clone ST11 <i>K. pneumoniae</i>, showed great similarities in their capacity to acquire resistance and virulence markers, differing mostly in the great diversity of capsular lipopolysaccharide and polysaccharide types in ST11, in comparison with ST16. While virulence and antimicrobial resistance scores indicated that ST11 might still constitute a more difficult-to-manage strain, results presented here demonstrate the great potential of the ST16 clone becoming critical in public health.
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spelling doaj.art-f8e2dd6adc394387b963a6b3f12bb35f2023-11-24T17:11:56ZengMDPI AGPathogens2076-08172022-11-011112139410.3390/pathogens11121394A Comprehensive Genomic Analysis of the Emergent <i>Klebsiella pneumoniae</i> ST16 Lineage: Virulence, Antimicrobial Resistance and a Comparison with the Clinically Relevant ST11 StrainRomário Oliveira de Sales0Laura Leaden1Letícia Busato Migliorini2Patricia Severino3Albert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, Sao Paulo 05652-900, BrazilAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, Sao Paulo 05652-900, BrazilAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, Sao Paulo 05652-900, BrazilAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, Sao Paulo 05652-900, Brazil<i>Klebsiella pneumoniae</i> is considered an opportunistic pathogen frequently involved with healthcare-associated infections. The genome of <i>K. pneumoniae</i> is versatile, harbors diverse virulence factors and easily acquires and exchanges resistance plasmids, facilitating the emergence of new threatening clones. In the last years, ST16 has been described as an emergent, clinically relevant strain, increasingly associated with outbreaks, and carrying virulence factors (such as ICE<i>Kp</i>, <i>iuc</i>, <i>rmpADC/2</i>) and a diversity of resistance genes. However, a far-reaching phylogenetic study of ST16, including geographically, clinically and temporally distributed isolates is not available. In this work, we analyzed all publicly available ST16 <i>K. pneumoniae</i> genomes in terms of virulence factors, including capsular lipopolysaccharide and polysaccharide diversity, plasmids and antimicrobial resistance genes. A core genome SNP analysis shows that less than 1% of studied sites were variant sites, with a median pairwise single nucleotide polymorphism difference of 87 SNPs. The number and diversity of antimicrobial resistance genes, but not of virulence-related genes, increased consistently in ST16 strains during the studied period. A genomic comparison between ST16 and the high-risk clone ST11 <i>K. pneumoniae</i>, showed great similarities in their capacity to acquire resistance and virulence markers, differing mostly in the great diversity of capsular lipopolysaccharide and polysaccharide types in ST11, in comparison with ST16. While virulence and antimicrobial resistance scores indicated that ST11 might still constitute a more difficult-to-manage strain, results presented here demonstrate the great potential of the ST16 clone becoming critical in public health.https://www.mdpi.com/2076-0817/11/12/1394<i>Klebsiella pneumoniae</i>ST16ST11antimicrobial resistancevirulence factorshigh-risk clone
spellingShingle Romário Oliveira de Sales
Laura Leaden
Letícia Busato Migliorini
Patricia Severino
A Comprehensive Genomic Analysis of the Emergent <i>Klebsiella pneumoniae</i> ST16 Lineage: Virulence, Antimicrobial Resistance and a Comparison with the Clinically Relevant ST11 Strain
Pathogens
<i>Klebsiella pneumoniae</i>
ST16
ST11
antimicrobial resistance
virulence factors
high-risk clone
title A Comprehensive Genomic Analysis of the Emergent <i>Klebsiella pneumoniae</i> ST16 Lineage: Virulence, Antimicrobial Resistance and a Comparison with the Clinically Relevant ST11 Strain
title_full A Comprehensive Genomic Analysis of the Emergent <i>Klebsiella pneumoniae</i> ST16 Lineage: Virulence, Antimicrobial Resistance and a Comparison with the Clinically Relevant ST11 Strain
title_fullStr A Comprehensive Genomic Analysis of the Emergent <i>Klebsiella pneumoniae</i> ST16 Lineage: Virulence, Antimicrobial Resistance and a Comparison with the Clinically Relevant ST11 Strain
title_full_unstemmed A Comprehensive Genomic Analysis of the Emergent <i>Klebsiella pneumoniae</i> ST16 Lineage: Virulence, Antimicrobial Resistance and a Comparison with the Clinically Relevant ST11 Strain
title_short A Comprehensive Genomic Analysis of the Emergent <i>Klebsiella pneumoniae</i> ST16 Lineage: Virulence, Antimicrobial Resistance and a Comparison with the Clinically Relevant ST11 Strain
title_sort comprehensive genomic analysis of the emergent i klebsiella pneumoniae i st16 lineage virulence antimicrobial resistance and a comparison with the clinically relevant st11 strain
topic <i>Klebsiella pneumoniae</i>
ST16
ST11
antimicrobial resistance
virulence factors
high-risk clone
url https://www.mdpi.com/2076-0817/11/12/1394
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