Title
Genomic features associated with the degree of phenotypic resistance to carbapenems in carbapenem-resistant klebsiella pneumoniae
Date Issued
01 September 2021
Access level
open access
Resource Type
journal article
Author(s)
Bulman Z.P.
Pincus N.B.
Wenzler E.
Murphy K.R.
Qi C.
Ozer E.A.
Hauser A.R.
Northwestern University
Publisher(s)
American Society for Microbiology
Abstract
Carbapenem-resistant Klebsiella pneumoniae strains cause severe infections that are difficult to treat. The production of carbapenemases such as the K. pneumoniae carbapenemase (KPC) is a common mechanism by which these strains resist killing by the carbapenems. However, the degree of phenotypic carbapenem resistance (MIC) may differ markedly between isolates with similar carbapenemase genes, suggesting that our understanding of the underlying mechanisms of carbapenem resistance remains incomplete. To address this problem, we determined the whole-genome sequences of 166 K. pneumoniae clinical isolates resistant to meropenem, imipenem, or ertapenem. Multiple linear regression analysis of this collection of largely blaKPC-3-containing sequence type 258 (ST258) isolates indicated that blaKPC copy number and some outer membrane porin gene mutations were associated with higher MICs to carbapenems. A trend toward higher MICs was also observed with those blaKPC genes carried by the d isoform of Tn4401. In contrast, ompK37 mutations were associated with lower carbapenem MICs, and extended spectrum b-lactamase genes were not associated with higher or lower MICs in carbapenem-resistant K. pneumoniae. A machine learning approach based on the whole-genome sequences of these isolates did not result in a substantial improvement in prediction of isolates with high or low MICs. These results build upon previous findings suggesting that multiple factors influence the overall carbapenem resistance levels in carbapenem-resistant K. pneumoniae isolates.
Volume
6
Issue
5
Language
English
OCDE Knowledge area
Farmacología, Farmacia
Scopus EID
2-s2.0-85115018267
Source
mSystems
Sponsor(s)
Funding text The project was funded in part by the Chicago Biomedical Consortium with support from the Searle Funds at The Chicago Community Trust (to Z.P.B. and A.R.H.). This project was also funded in part by the National Institutes of Health (NIH) under grants R01AI118257, U19AI135964, K24AI04831, and R21AI129167 (all to A.R.H.), R01AI148560 (to Z.P.B.), and T32GM008152 (to N.B.P.).
Sources of information: Directorio de Producción Científica Scopus