Boddicker Jennifer D, Anderson Rebecca A, Jagnow Jennifer, Clegg Steven
Department of Microbiology, College of Medicine, University of Iowa, Iowa City, Iowa 52242, USA.
Infect Immun. 2006 Aug;74(8):4590-7. doi: 10.1128/IAI.00129-06.
Klebsiella pneumoniae causes urinary tract infections, respiratory tract infections, and septicemia in susceptible individuals. Strains of Klebsiella frequently produce extended-spectrum beta-lactamases, and infections with these strains can lead to relatively high mortality rates (approximately 15%). Other virulence factors include production of an antiphagocytic capsule and outer membrane lipopolysaccharide (LPS), which mediates serum resistance, as well as fimbriae on the surface of the bacteria. Type 1 fimbriae mediate adherence to many types of epithelial cells and may facilitate adherence of the bacteria to the bladder epithelium. Type 3 fimbriae can bind in vitro to the extracellular matrix of urinary and respiratory tissues, suggesting that they mediate binding to damaged epithelial surfaces. In addition, type 3 fimbriae are required for biofilm formation by Klebsiella pneumoniae on plastics and human extracellular matrix; thus, they may facilitate the formation of treatment-resistant biofilm on indwelling plastic devices, such as catheters and endotracheal tubing. The presence of these devices may cause tissue damage, allowing Klebsiella to grow as a biofilm on exposed tissue basement membrane components. Though in vivo biofilm growth may be an important step in the infection process, little is known about the genetic factors required for biofilm formation by Klebsiella pneumoniae. Thus, we performed signature-tagged mutagenesis to identify factors produced by K. pneumoniae strain 43816 that are required for biofilm formation. We identified mutations in the cps capsule gene cluster, previously unidentified transcriptional regulators, fimbrial, and sugar phosphotransferase homologues, as well as genetic loci of unknown function, that affect biofilm formation.
肺炎克雷伯菌可在易感个体中引起尿路感染、呼吸道感染和败血症。克雷伯菌菌株经常产生超广谱β-内酰胺酶,感染这些菌株可导致相对较高的死亡率(约15%)。其他毒力因子包括产生抗吞噬荚膜和外膜脂多糖(LPS),后者介导血清抗性,以及细菌表面的菌毛。1型菌毛介导与多种类型上皮细胞的黏附,可能促进细菌黏附于膀胱上皮。3型菌毛在体外可与泌尿和呼吸组织的细胞外基质结合,表明它们介导与受损上皮表面的结合。此外,3型菌毛是肺炎克雷伯菌在塑料和人细胞外基质上形成生物膜所必需的;因此,它们可能促进在留置塑料装置(如导管和气管内插管)上形成耐药生物膜。这些装置的存在可能导致组织损伤,使克雷伯菌能够在暴露的组织基底膜成分上以生物膜形式生长。虽然体内生物膜生长可能是感染过程中的一个重要步骤,但对于肺炎克雷伯菌形成生物膜所需的遗传因素知之甚少。因此,我们进行了特征标记诱变,以鉴定肺炎克雷伯菌43816菌株产生的生物膜形成所需的因子。我们在cps荚膜基因簇、先前未鉴定的转录调节因子、菌毛和糖磷酸转移酶同源物以及功能未知的基因座中鉴定出影响生物膜形成的突变。