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.

PubMed

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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