Comparative analysis of the antimicrobial resistance and virulence traits in ESBL-producing-Klebsiella pneumoniae ST307 strains colonizing the gastrointestinal tract and causing a fatal bloodstream infection in a leukemia patient

• Published in: Infection, genetics and evolution genetics and evolution, 2024-07, Vol.121, p.105598-105598, Article 105598
• Main Authors: Boff, Luana, de Sousa Duarte, Humberlânia, Kraychete, Gabriela Bergiante, Taddeucci-Rocha, Gabriel, Oliveira, Bianca Diniz, Albano, Rodolpho Mattos, D'Alincourt Carvalho-Assef, Ana Paula, Superti, Silvana Vargas, Martins, Ianick Souto, Picão, Renata Cristina
• Format: Article
• Language: English
• Subjects: Bacterial translocation; Klebsiella pneumoniae; ST307; Virulence
• ISSN: 1567-1348; 1567-7257
• DOI: 10.1016/j.meegid.2024.105598

Klebsiella pneumoniae is an opportunistic pathogen that can colonize the gastrointestinal tract (GIT) of humans. The mechanisms underlying the successful translocation of this pathogen to cause extra-intestinal infections remain unknown, although virulence and antimicrobial resistance traits likely play significant roles in the establishment of infections. We investigated K. pneumoniae strains isolated from GIT colonization (strains Kp_FZcol-1, Kp_FZcol-2 and Kp_FZcro-1) and from a fatal bloodstream infection (strain Kp_HM-1) in a leukemia patient. All strains belonged to ST307, carried a transferable IncF plasmid containing the blaCTX-M-15 gene (pKPN3–307 TypeA-like plasmid) and showed a multidrug-resistance phenotype. Phylogenetic analysis demonstrated that Kp_HM-1 was more closely related to Kp_FZcro-1 than to the other colonizing strains. The Kp_FZcol-2 genome showed 81 % coverage with the Kp_HM-1 246,730 bp plasmid (pKp_HM-1), lacking most of its putative virulence genes. Searching public genomes with similar coverage, we observed the occurrence of this deletion in K. pneumoniae ST307 strains recovered from human colonization and infection in different countries. Our findings suggest that strains lacking the putative virulence genes found in the pKPN3–307 TypeA plasmid are still able to colonize and infect humans, highlighting the need to further investigate the role of these genes for the adaptation of K. pneumoniae ST307 in distinct human body sites. •Distinct but related genotypes of K. pneumoniae ST307 colonized the patient's gut.•K. pneumoniae ST307 likely translocated from the human gut into the bloodstream.•Colonizing and infecting K. pneumoniae ST307 carried distinct pKPN3–307 plasmids.•Deletion of putative virulence genes was observed in a colonizing strain.