Suppr超能文献

肺炎克雷伯菌的多样性、种群结构、毒力及抗菌药物耐药性的基因组分析,对公共卫生构成紧迫威胁。

Genomic analysis of diversity, population structure, virulence, and antimicrobial resistance in Klebsiella pneumoniae, an urgent threat to public health.

作者信息

Holt Kathryn E, Wertheim Heiman, Zadoks Ruth N, Baker Stephen, Whitehouse Chris A, Dance David, Jenney Adam, Connor Thomas R, Hsu Li Yang, Severin Juliëtte, Brisse Sylvain, Cao Hanwei, Wilksch Jonathan, Gorrie Claire, Schultz Mark B, Edwards David J, Nguyen Kinh Van, Nguyen Trung Vu, Dao Trinh Tuyet, Mensink Martijn, Minh Vien Le, Nhu Nguyen Thi Khanh, Schultsz Constance, Kuntaman Kuntaman, Newton Paul N, Moore Catrin E, Strugnell Richard A, Thomson Nicholas R

机构信息

Department of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute, The University of Melbourne, Parkville, VIC 3010, Australia; Department of Microbiology and Immunology, The University of Melbourne, Parkville, VIC 3010, Australia;

Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, National Hospital for Tropical Diseases, Hanoi, Vietnam; Nuffield Department of Clinical Medicine, Centre for Tropical Medicine, University of Oxford, OX3 7BN Oxford, United Kingdom;

出版信息

Proc Natl Acad Sci U S A. 2015 Jul 7;112(27):E3574-81. doi: 10.1073/pnas.1501049112. Epub 2015 Jun 22.

Abstract

Klebsiella pneumoniae is now recognized as an urgent threat to human health because of the emergence of multidrug-resistant strains associated with hospital outbreaks and hypervirulent strains associated with severe community-acquired infections. K. pneumoniae is ubiquitous in the environment and can colonize and infect both plants and animals. However, little is known about the population structure of K. pneumoniae, so it is difficult to recognize or understand the emergence of clinically important clones within this highly genetically diverse species. Here we present a detailed genomic framework for K. pneumoniae based on whole-genome sequencing of more than 300 human and animal isolates spanning four continents. Our data provide genome-wide support for the splitting of K. pneumoniae into three distinct species, KpI (K. pneumoniae), KpII (K. quasipneumoniae), and KpIII (K. variicola). Further, for K. pneumoniae (KpI), the entity most frequently associated with human infection, we show the existence of >150 deeply branching lineages including numerous multidrug-resistant or hypervirulent clones. We show K. pneumoniae has a large accessory genome approaching 30,000 protein-coding genes, including a number of virulence functions that are significantly associated with invasive community-acquired disease in humans. In our dataset, antimicrobial resistance genes were common among human carriage isolates and hospital-acquired infections, which generally lacked the genes associated with invasive disease. The convergence of virulence and resistance genes potentially could lead to the emergence of untreatable invasive K. pneumoniae infections; our data provide the whole-genome framework against which to track the emergence of such threats.

摘要

肺炎克雷伯菌现已被视为对人类健康的紧迫威胁,因为出现了与医院暴发相关的多重耐药菌株以及与严重社区获得性感染相关的高毒力菌株。肺炎克雷伯菌在环境中无处不在,可在植物和动物体内定殖并感染它们。然而,人们对肺炎克雷伯菌的种群结构知之甚少,因此很难识别或理解在这个遗传高度多样的物种中临床重要克隆的出现。在此,我们基于对来自四大洲的300多株人类和动物分离株进行全基因组测序,提出了一个详细的肺炎克雷伯菌基因组框架。我们的数据为将肺炎克雷伯菌分为三个不同的物种提供了全基因组支持,即KpI(肺炎克雷伯菌)、KpII(准肺炎克雷伯菌)和KpIII(多变克雷伯菌)。此外,对于肺炎克雷伯菌(KpI),即最常与人类感染相关的实体,我们发现存在超过150个深度分支谱系,包括许多多重耐药或高毒力克隆。我们表明,肺炎克雷伯菌有一个庞大的辅助基因组,接近30,000个蛋白质编码基因,其中包括一些与人类侵袭性社区获得性疾病显著相关的毒力功能。在我们的数据集中,抗菌耐药基因在人类携带分离株和医院获得性感染中很常见,而这些感染通常缺乏与侵袭性疾病相关的基因。毒力和耐药基因的趋同可能会导致无法治疗的侵袭性肺炎克雷伯菌感染的出现;我们的数据提供了一个全基因组框架,可据此追踪此类威胁的出现。

相似文献

1
Genomic analysis of diversity, population structure, virulence, and antimicrobial resistance in Klebsiella pneumoniae, an urgent threat to public health.
Proc Natl Acad Sci U S A. 2015 Jul 7;112(27):E3574-81. doi: 10.1073/pnas.1501049112. Epub 2015 Jun 22.
4
Distinct evolutionary dynamics of horizontal gene transfer in drug resistant and virulent clones of Klebsiella pneumoniae.
PLoS Genet. 2019 Apr 15;15(4):e1008114. doi: 10.1371/journal.pgen.1008114. eCollection 2019 Apr.
5
The dissemination of multidrug-resistant and hypervirulent clones across the Kingdom of Saudi Arabia.
Emerg Microbes Infect. 2024 Dec;13(1):2427793. doi: 10.1080/22221751.2024.2427793. Epub 2024 Nov 21.
6
Genomic Diversity, Virulence, and Antimicrobial Resistance of Strains from Cows and Humans.
Appl Environ Microbiol. 2019 Mar 6;85(6). doi: 10.1128/AEM.02654-18. Print 2019 Mar 15.
7
Emergence of -bearing MDR-hypervirulent ST307.
Microbiol Spectr. 2025 Feb 4;13(2):e0191024. doi: 10.1128/spectrum.01910-24. Epub 2024 Dec 13.
8
Genomic and functional analysis of rmp locus variants in Klebsiella pneumoniae.
Genome Med. 2025 Apr 9;17(1):36. doi: 10.1186/s13073-025-01461-5.
9
Colonization, Infection, and the Accessory Genome of .
Front Cell Infect Microbiol. 2018 Jan 22;8:4. doi: 10.3389/fcimb.2018.00004. eCollection 2018.

引用本文的文献

1
Multi-omics investigation reveals unique markers in compared to closely related species.
Front Microbiol. 2025 Aug 20;16:1657680. doi: 10.3389/fmicb.2025.1657680. eCollection 2025.
2
The global genomic landscape of hypervirulent from 1932 to 2021.
mLife. 2025 Aug 24;4(4):378-396. doi: 10.1002/mlf2.70029. eCollection 2025 Aug.
3
4
Urinary Multidrug-Resistant : Essential Oil Countermeasures in a One Health Case Report.
Microorganisms. 2025 Aug 1;13(8):1807. doi: 10.3390/microorganisms13081807.
8
Emergence and molecular evolution of carbapenem-resistant hypervirulent ST23 : The superbug phenomenon in China.
Virulence. 2025 Dec;16(1):2545556. doi: 10.1080/21505594.2025.2545556. Epub 2025 Aug 13.
9
Enhancement of -carrying plasmid transfer in by hospital wastewater: a transcriptomic study.
Front Microbiol. 2025 Jul 28;16:1626123. doi: 10.3389/fmicb.2025.1626123. eCollection 2025.
10
with capsule type K64 is overrepresented among invasive disease in Vietnam.
F1000Res. 2025 Jan 17;10:454. doi: 10.12688/f1000research.52799.2. eCollection 2021.

本文引用的文献

1
4
Genomic definition of hypervirulent and multidrug-resistant Klebsiella pneumoniae clonal groups.
Emerg Infect Dis. 2014 Nov;20(11):1812-20. doi: 10.3201/eid2011.140206.
5
Carbapenemase-producing Klebsiella pneumoniae: molecular and genetic decoding.
Trends Microbiol. 2014 Dec;22(12):686-96. doi: 10.1016/j.tim.2014.09.003. Epub 2014 Oct 7.
7
Klebsiella: a long way to go towards understanding this enigmatic jet-setter.
F1000Prime Rep. 2014 Aug 1;6:64. doi: 10.12703/P6-64. eCollection 2014.
8
Whole-genome sequencing to control antimicrobial resistance.
Trends Genet. 2014 Sep;30(9):401-7. doi: 10.1016/j.tig.2014.07.003. Epub 2014 Aug 3.
9
First isolate of KPC-2-producing Klebsiella pneumonaie sequence type 23 from the Americas.
J Clin Microbiol. 2014 Sep;52(9):3483-5. doi: 10.1128/JCM.00726-14. Epub 2014 Jul 16.
10
Clinical and molecular characteristics of emerging hypervirulent Klebsiella pneumoniae bloodstream infections in mainland China.
Antimicrob Agents Chemother. 2014 Sep;58(9):5379-85. doi: 10.1128/AAC.02523-14. Epub 2014 Jun 30.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验