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Phenotypic and Molecular Characterization of Commensal, Community-Acquired and Nosocomial Klebsiella spp
Marta Gómez1, Arancha Valverde2, Rosa Del Campo2
1Department of Nutrition and Food Science, Complutense University of Madrid, 28040 Madrid, Spain.
Abstract:
Klebsiella spp. is a relevant pathogen that can present acquired resistance to almost all available antibiotics, thus representing a serious threat for public health. While most studies have been focused on isolates causing community-acquired and nosocomial infections, little is known about the commensal isolates colonizing healthy subjects. We describe the molecular identification and the phenotypic characterization of commensal Klebsiella spp. from breast milk of healthy women and faeces from healthy breast-fed infants, which were compared with isolates from community-acquired infections and from a nosocomial NICU outbreak. The phylogenetic analysis of a 454-bp sequence of the rpoB gene was useful for species identification (K. pneumoniae, K. variicola, K. quasipneumoniae, K. oxytoca, K. grimontii, K. michiganensis, Raoultella planticola and R. ornithinolytica), previously misidentified as K. pneumoniae or K. oxytoca by biochemical methods. Globally, we report that commensal strains present virulence traits (virulence genes, siderophores and biofilms) comparable to community-acquired and NICU-infective isolates, thus suggesting that the human microbiota could constitute a reservoir for infection. Isolates causing NICU outbreak were multi-drug resistant (MDR) and ESBLs producers, although an imipenem-resistant commensal MDR K. quasipneumoniae isolate was also found. A commensal K. pneumoniae strain showed a potent bacteriocin-like inhibitory activity against MDR Klebsiella isolates, thus highlighting the potential role of commensal Klebsiella spp. in health and disease.
Insights
Commensal Klebsiella bacteria in healthy individuals possess virulence traits similar to those causing infections. These bacteria may act as a reservoir for antibiotic-resistant strains, but some also show potential for fighting infections.
Area of Science:
- Microbiology
- Genetics
- Public Health
Background:
- Klebsiella spp. are significant pathogens with increasing antibiotic resistance, posing a public health threat.
- Research has primarily focused on Klebsiella causing infections, with limited understanding of commensal strains in healthy individuals.
Purpose of the Study:
- To molecularly identify and phenotypically characterize commensal Klebsiella spp. from breast milk and infant feces.
- To compare these commensal strains with isolates from community-acquired infections and a neonatal intensive care unit (NICU) outbreak.
- To investigate the potential of commensal Klebsiella as a reservoir for virulence and antibiotic resistance.
Main Methods:
- Phylogenetic analysis of the rpoB gene for accurate species identification.
- Phenotypic characterization of virulence traits, including siderophores and biofilms.
- Antimicrobial resistance profiling, including multi-drug resistance (MDR) and ESBL production.
- Assessment of bacteriocin-like inhibitory activity.
Main Results:
- Phylogenetic analysis identified several Klebsiella and Raoultella species, correcting misidentifications from biochemical methods.
- Commensal Klebsiella strains exhibited virulence factors comparable to pathogenic isolates.
- Multi-drug resistant (MDR) and ESBL-producing Klebsiella were found in NICU outbreaks, alongside an imipenem-resistant commensal K. quasipneumoniae.
- A commensal K. pneumoniae strain demonstrated significant inhibitory activity against MDR Klebsiella isolates.
Conclusions:
- The human microbiota can serve as a reservoir for potentially infectious Klebsiella strains.
- Commensal Klebsiella spp. possess virulence traits and can harbor antibiotic resistance, highlighting their dual role in health and disease.
- Commensal Klebsiella, particularly K. pneumoniae, may have therapeutic potential through bacteriocin production against resistant strains.
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