Genetic plurality of bla-harboring plasmids in high-risk clones of Klebsiella pneumoniae of environmental origin.

Sci Total Environ

Department of Clinical Analyses, Toxicology and Food Science, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Brazil. Electronic address:

Published: July 2023

AI Article Synopsis

  • International high-risk clones of Klebsiella pneumoniae, which are serious human pathogens, are increasingly found in environmental settings, particularly following the COVID-19 pandemic, leading to a rise in carbapenemase-producing strains.
  • These strains, isolated from aquatic ecosystems in commercial and industrial areas, show extensive antimicrobial resistance and contain genes related to hypervirulence.
  • The study identified various plasmids carrying resistance genes, highlighting their long-term presence and potential for rapid spread between humans, animals, and the environment, raising concerns about public health in a post-pandemic scenario.

Article Abstract

International high-risk clones of Klebsiella pneumoniae are important human pathogens that are spreading to the environment. In the COVID-19 pandemic scenario, the frequency of carbapenemase-producing strains increased, which can contribute to the contamination of the environment, impacting the surrounding and associated ecosystems. In this regard, KPC-producing strains were recovered from aquatic ecosystems located in commercial, industrial, or agricultural areas and were submitted to whole-genome characterization. K. pneumoniae and Klebsiella quasipneumoniae subsp. quasipneumoniae strains were assigned to high-risk clones (ST11, ST340, ST307) and the new ST6325. Virulome analysis showed genes related to putative hypervirulence. Strains were resistant to almost all antimicrobials tested, being classified as extensively drug-resistant or multidrug-resistant. In this context, a broad resistome (clinically important antimicrobials and hazardous metal) was detected. Single replicon (IncX5, IncN-pST15, IncU) and multireplicon [IncFII(K1)/IncFIB(pQil), IncFIA(HI1)/IncR] plasmids were identified carrying the bla gene with Tn4401 and non-Tn4401 elements. An unusual association of bla and qnrVC1 and the coexistence of bla and mer operon (mercury tolerance) was found. Comparative analysis revealed that bla-bearing plasmids were most similar to plasmids from Enterobacterales of Brazil, China, and the United States, evidencing the long persistence of plasmids at the human-animal-environmental interface. Furthermore, the presence of uncommon plasmids, displaying the interspecies, intraspecies, and clonal transmission, was highlighted. These findings alert for the spread of high-risk clones producing bla in the environmental sector and call attention to rapid dispersion in a post-pandemic world.

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http://dx.doi.org/10.1016/j.scitotenv.2023.163322DOI Listing

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