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Quantification of Plasmid-Mediated Antibiotic Resistance in an Experimental Evolution Approach
Published on: December 14, 2019
Evolution and transmission potential of iuc3-positive virulence plasmids in hypervirulent Klebsiella pneumoniae
Jiayun Wang1, Xing Ji2, Pilar García3
1Jiangsu Co-Innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, College of Veterinary Medicine, Yangzhou University, Yangzhou 225009, China; Jiangsu Key Laboratory for Food Quality and Safety-State Key Laboratory Cultivation Base of Ministry of Science and Technology, Institute of Food Safety and Nutrition, Jiangsu Academy of Agricultural Sciences, Nanjing 210040, China.
Abstract:
The global emergence of hypervirulent Klebsiella pneumoniae (hvKP) poses significant threats to public health. The iucABCD (iuc) operon, a plasmid-borne genetic determinant encoding the siderophore aerobactin, serves as a reliable biomarker for hvKP identification. This study aimed to characterize the iuc3 (type 3 iuc)-positive K.pneumoniae isolates from diseased cows as hvKP strains and to elucidate the contribution of iuc3-positive plasmids to the hypervirulence phenotype, the evolutionary pathways and the spreading risk of the iuc3-positive plasmids. Eight of 108 K. pneumoniae isolates from 763 cow milk samples contained the iuc3 operon, and all iuc3 operons were located on T4SS-bearing plasmids. Notably, these isolates showed hypervirulent phenotype compared to the iuc3 knockout and plasmid-cured strains, including severe tissue damage, high bacterial loads in typical organs and high mortality in animal models. Analysis of NCBI database showed iuc3-positive K. pneumoniae strains have been widely distributed across animal, food, and humans, and exhibit an independent evolutionary pathways compared to the human-associated iuc1-type hvKP. The IS elements likely drive the acquisition of various resistance genes and the emergence of iuc3-positive resistance plasmids. The iuc3-bearing plasmids in this study demonstrated highly conjugative ability, low fitness costs, and the ability to replace the iuc1-bearing classical virulence plasmid in human hvKP strain. Besides, they could completely fuse with broad-host-range resistance plasmid (IncX3-blaNDM-5), becoming carbapenem-resistant hvKP strains. The iuc3- and blaNDM-5- fusion plasmids showed strong in vivo retention and dissemination capabilities in mouse models. Our findings emphasize the necessity for long-term monitoring of iuc3-positive plasmids in K. pneumoniae isolates from both animals and humans.
Insights
Hypervirulent Klebsiella pneumoniae strains carrying the iuc3 operon were identified in cows. These strains exhibit enhanced virulence and can spread through plasmids, posing a public health risk requiring monitoring in animals and humans.
Area of Science:
- Microbiology
- Genetics
- Public Health
Background:
- Hypervirulent Klebsiella pneumoniae (hvKP) poses a global health threat.
- The iucABCD operon, encoding aerobactin, is a key biomarker for hvKP.
- Understanding the role of specific iuc types, like iuc3, is crucial for hvKP surveillance.
Purpose of the Study:
- Characterize iuc3-positive K. pneumoniae from diseased cows as hvKP.
- Elucidate the contribution of iuc3-positive plasmids to hypervirulence.
- Investigate the evolutionary pathways and dissemination risks of iuc3-positive plasmids.
Main Methods:
- Isolating and characterizing K. pneumoniae from cow milk samples.
- Phenotypic analysis of hypervirulence in animal models.
- Bioinformatic analysis of public databases (NCBI) for strain distribution and evolution.
- Plasmid conjugation and stability experiments.
Main Results:
- Eight iuc3-positive K. pneumoniae isolates from cows exhibited hypervirulence.
- These iuc3 operons were located on T4SS-bearing plasmids.
- iuc3-positive strains are distributed across animal, food, and human sources, with independent evolution from iuc1-type hvKP.
- iuc3-bearing plasmids showed high conjugative ability, low fitness cost, and could replace iuc1 plasmids.
- Fusion with IncX3-blaNDM-5 plasmids created carbapenem-resistant hvKP with strong in vivo dissemination.
Conclusions:
- iuc3-positive K. pneumoniae strains from animals represent a significant hvKP reservoir.
- iuc3-positive plasmids contribute to hypervirulence and possess efficient dissemination mechanisms.
- Long-term monitoring of iuc3-positive plasmids in both animal and human isolates is essential for public health surveillance.
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