Abstract
Carbapenem resistant Klebsiella pneumoniae causing severe infection resulting in morbidity and mortality have become a global health concern. K. pneumoniae with sequence type ST147 is an international high-risk clonal lineage, genomic studies have been done on K. pneumoniae ST147 isolated from clinical origin but genomic data for environmental K. pneumoniae ST147 is very scarce. Herein, K. pneumoniae IITR008, an extensively drug resistant and potentially hypervirulent bacterium, was isolated from Triveni Sangam, the confluence of three rivers where religious congregations are organized. Phenotypic, genomic and comparative genomic analysis of strain IITR008 was performed. Antibiotic susceptibility profiling revealed resistance to 9 different classes of antibiotics including ß-lactams, ß-lactam combination agents, carbapenem, aminoglycoside, macrolide, quinolones, cephams, phenicol, and folate pathway antagonists and was found to be susceptible to only tetracycline. The strain IITR008 possesses hypervirulence genes namely, iutA and iroN in addition to numerous virulence factors coding for adherence, regulation, iron uptake, secretion system and toxin. Both the IITR008 chromosome and plasmid pIITR008_75 possess a plethora of clinically relevant antibiotic-resistant genes (ARGs) including blaCTX-M-15, blaTEM-1, and blaSHV-11, corroborating the phenotypic resistance. Comparative genomic analysis with other ST147 K. pneumoniae provided insights on the phylogenetic clustering of IITR008 with a clinical strain isolated from a patient in Czech with recent travel history in India and other clinical strains isolated from India and Pakistan. According to the ‘One Health’ perspective, surveillance of antibiotic resistance in the environment is crucial to impede its accelerated development in diverse ecological niches.
Similar content being viewed by others
Data availability
The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.
References
Alcock BP, Raphenya AR, Lau TTY et al (2020) CARD 2020: antibiotic resistome surveillance with the comprehensive antibiotic resistance database. Nucleic Acids Res 48:D517–D525. https://doi.org/10.1093/nar/gkz935
Alikhan N-F, Petty NK, Ben Zakour NL, Beatson SA (2011) BLAST Ring Image Generator (BRIG): simple prokaryote genome comparisons. BMC Genomics 12:1–10. https://doi.org/10.1186/1471-2164-12-402
Argimón S, David S, Underwood A et al (2021) Rapid genomic characterization and global surveillance of Klebsiella using pathogenwatch. Clin Infect Dis 73:S325–S335. https://doi.org/10.1093/cid/ciab784
Arndt D, Grant JR, Marcu A et al (2016) PHASTER: a better, faster version of the PHAST phage search tool. Nucleic Acids Res 44:W16–W21. https://doi.org/10.1093/nar/gkw387
Babakhani S, Oloomi M (2018) Transposons: the agents of antibiotic resistance in bacteria. J Basic Microbiol 58:905–917. https://doi.org/10.1002/jobm.201800204
Carvalho I, Chenouf NS, Carvalho JA et al (2021) Multidrug-resistant Klebsiella pneumoniae harboring extended spectrum β-lactamase encoding genes isolated from human septicemias. PLoS One 16:e0250525
Charfi K, Grami R, Ben JA et al (2017) Extended-spectrum β-lactamases and plasmid-mediated quinolone resistance in enterobacterial clinical isolates from neonates in Tunisia. Microb Pathog 110:184–188
Chi X, Berglund B, Zou H et al (2019) Characterization of clinically relevant strains of extended-spectrum β-lactamase-producing Klebsiella pneumoniae occurring in environmental sources in a rural area of China by using whole-genome sequencing. Front Microbiol 10:211
Choby JE, Howard-Anderson J, Weiss DS (2020) Hypervirulent Klebsiella pneumoniae–clinical and molecular perspectives. J Intern Med 287:283–300. https://doi.org/10.1111/joim.13007
Chudejova K, Kraftova L, Mattioni Marchetti V et al (2021) Genetic plurality of OXA/NDM-encoding features characterized from Enterobacterales recovered from Czech hospitals. Front Microbiol 12:641415. https://doi.org/10.3389/fmicb.2021.641415
Compain F, Frangeul L, Drieux L et al (2014) Complete nucleotide sequence of two multidrug-resistant IncR plasmids from Klebsiella pneumoniae. Antimicrob Agents Chemother 58:4207–4210. https://doi.org/10.1128/aac.02773-13
Darling AE, Mau B, Perna NT (2010) progressiveMauve: multiple genome alignment with gene gain, loss and rearrangement. PLoS One 5:e11147. https://doi.org/10.1371/journal.pone.0011147
Das C, Tripathi P (2020) Experiencing the riverscape: an eco-spiritual decoding of gangetic ‘triveni-sangam’in select writings of neelum saran gour. Open Cultural Stud 4:96–106
Dziewit L, Bartosik D (2014) Plasmids of psychrophilic and psychrotolerant bacteria and their role in adaptation to cold environments. Front Microbiol 5:596. https://doi.org/10.3389/fmicb.2014.00596
Frenk S, Rakovitsky N, Temkin E et al (2020) Investigation of outbreaks of extended-spectrum beta-lactamase-producing Klebsiella pneumoniae in three neonatal intensive care units using whole genome sequencing. Antibiotics 9:705
Frost I, Van Boeckel TP, Pires J et al (2019) Global geographic trends in antimicrobial resistance: the role of international travel. J Travel Med 26:taz036
Gaeta NC, de Carvalho DU, Fontana H et al (2022) Genomic features of a multidrug-resistant and mercury-tolerant environmental Escherichia coli recovered after a mining dam disaster in South America. Sci Total Environ 823:153590. https://doi.org/10.1016/j.scitotenv.2022.153590
Garcia-Fierro R, Drapeau A, Dazas M et al (2022) Comparative phylogenomics of ESBL-, AmpC-and carbapenemase-producing Klebsiella pneumoniae originating from companion animals and humans. J Antimicrob Chemother 77:1263–1271. https://doi.org/10.1093/jac/dkac041
Geadas Farias P, Gama F, Reis D et al (2017) Hospital microbial surface colonization revealed during monitoring of Klebsiella spp., Pseudomonas aeruginosa, and non-tuberculous mycobacteria. Antonie Van Leeuwenhoek 110:863–876. https://doi.org/10.1007/s10482-017-0857-z
Gonçalves Barbosa LC, Silva e Sousa JA, Bordoni GP et al (2022) Elevated mortality risk from CRKp associated with comorbidities: systematic review and meta-analysis. Antibiotics 11:874. https://doi.org/10.3390/antibiotics11070874
Guo Q, Spychala CN, McElheny CL, Doi Y (2016) Comparative analysis of an IncR plasmid carrying armA, bla DHA-1 and qnrB4 from Klebsiella pneumoniae ST37 isolates. J Antimicrob Chemother 71:882–886. https://doi.org/10.1093/jac/dkv444
Gupta S, Graham DW, Sreekrishnan TR, Ahammad SZ (2022) Effects of heavy metals pollution on the co-selection of metal and antibiotic resistance in urban rivers in UK and India. Environ Pollut 306:119326. https://doi.org/10.1016/j.envpol.2022.119326
Hameed MF, Chen Y, Wang Y et al (2021) Epidemiological characterization of colistin and carbapenem resistant Enterobacteriaceae in a tertiary: A Hospital from Anhui Province. Infect Drug Resist. https://doi.org/10.2147/IDR.S303739
Huerta-Cepas J, Forslund K, Coelho LP, et al (2017) Fast genome-wide functional annotation through orthology assignment by eggNOG-Mapper. Mol Biol Evol 34:2115–2122. https://doi.org/10.1093/molbev/msx148
Jia X, Jia P, Zhu Y et al (2022) Coexistence of blaNDM-1 and blaIMP-4 in one novel hybrid plasmid confers transferable carbapenem resistance in an ST20-K28 Klebsiella pneumoniae. Front Microbiol 13:891807
Letunic I, Bork P (2021) Interactive Tree Of Life (iTOL) v5: an online tool for phylogenetic tree display and annotation. Nucleic Acids Res 49:W293–W296. https://doi.org/10.1093/nar/gkab301
Liguori K, Keenum I, Davis BC et al (2022) Antimicrobial resistance monitoring of water environments: a framework for standardized methods and quality control. Environ Sci Technol 56:9149–9160
Liu B, Zheng D, Jin Q et al (2019) VFDB 2019: a comparative pathogenomic platform with an interactive web interface. Nucleic Acids Res 47:D687–D692
Magiorakos A-P, Srinivasan A, Carey RB et al (2012) Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clin Microbiol Infect 18:268–281
Naha S, Sands K, Mukherjee S et al (2020) KPC-2-producing Klebsiella pneumoniae ST147 in a neonatal unit: clonal isolates with differences in colistin susceptibility attributed to AcrAB-TolC pump. Int J Antimicrob Agents 55:105903
Nahid F, Zahra R, Sandegren L (2017) A bla OXA-181-harbouring multi-resistant ST147 Klebsiella pneumoniae isolate from Pakistan that represent an intermediate stage towards pan-drug resistance. PLoS One 12:e0189438
Nath S, Paul P, Roy R et al (2019) Isolation and identification of metal-tolerant and antibiotic-resistant bacteria from soil samples of Cachar district of Assam, India. SN Appl Sci 1:1–9. https://doi.org/10.1007/s42452-019-0762-3
Navon-Venezia S, Kondratyeva K, Carattoli A (2017) Klebsiella pneumoniae: a major worldwide source and shuttle for antibiotic resistance. FEMS Microbiol Rev 41:252–275
Ndeddy Aka RJ, Babalola OO (2017) Identification and characterization of Cr-, Cd-, and Ni-tolerant bacteria isolated from mine tailings. Bioremediat J 21:1–19
Nieto JJ, Ventosa A, Ruiz-Berraquero F (1987) Susceptibility of halobacteria to heavy metals. Appl Environ Microbiol 53:1199–1202. https://doi.org/10.1128/aem.53.5.1199-1202.1987
Ozdikmenli Tepeli S, Numanoglu Cevik Y, Tosun MN et al (2023) Carbapenem resistance and biofilm formation status of Enterobacterales isolated from raw milk via molecular versus phenotypic methods. Antonie Van Leeuwenhoek 116:67–80. https://doi.org/10.1007/s10482-022-01799-5
Pal C, Bengtsson-Palme J, Rensing C et al (2014) BacMet: antibacterial biocide and metal resistance genes database. Nucleic Acids Res 42:D737–D743. https://doi.org/10.1093/nar/gkt1252
Peirano G, Chen L, Kreiswirth BN, Pitout JDD (2020) Emerging antimicrobial-resistant high-risk Klebsiella pneumoniae clones ST307 and ST147. Antimicrob Agents Chemother 64:e01148-e1220
Pitout JDD, Nordmann P, Laupland KB, Poirel L (2005) Emergence of Enterobacteriaceae producing extended-spectrum β-lactamases (ESBLs) in the community. J Antimicrob Chemother 56:52–59
Poirel L, Decousser J-W, Nordmann P (2003) Insertion sequence IS Ecp1B is involved in expression and mobilization of a bla CTX-M β-lactamase gene. Antimicrob Agents Chemother 47:2938–2945
Qian C, Zhu X, Lu J et al (2020) Characterization of an IncR plasmid with two copies of ISCR-Linked qnrB6 from ST968 Klebsiella pneumoniae. Int J Genomics. https://doi.org/10.1155/2020/3484328
Qin X, Wu S, Hao M et al (2020) The colonization of carbapenem-resistant Klebsiella pneumoniae: epidemiology, resistance mechanisms, and risk factors in patients admitted to intensive care units in China. J Infect Dis 221:S206–S214. https://doi.org/10.1093/infdis/jiz622
Qu D, Shen Y, Hu L et al (2019) Comparative analysis of KPC-2-encoding chimera plasmids with multi-replicon IncR: IncpA1763-KPC: IncN1 or IncFIIpHN7A8: IncpA1763-KPC: IncN1. Infect Drug Resist. https://doi.org/10.2147/IDR.S189168
Richter M, Rosselló-Móra R, Oliver Glöckner F, Peplies J (2016) JSpeciesWS: a web server for prokaryotic species circumscription based on pairwise genome comparison. Bioinformatics 32:929–931. https://doi.org/10.1093/bioinformatics/btv681
Riwu KHP, Effendi MH, Rantam FA (2020) A review of extended spectrum β-lactamase (ESBL) producing Klebsiella pneumoniae and multidrug resistant (MDR) on companion animals. Syst Rev Pharmacy 11:270–277
Rodrigues C, Desai S, Passet V et al (2022) Genomic evolution of the globally disseminated multidrug-resistant Klebsiella pneumoniae clonal group 147. Microb Genom 8:000737
Schwartz KL, Morris SK (2018) Travel and the spread of drug-resistant bacteria. Curr Infect Dis Rep 20:1–10. https://doi.org/10.1007/s11908-018-0634-9
Seemann T (2014) Prokka: rapid prokaryotic genome annotation. Bioinformatics 30:2068–2069. https://doi.org/10.1093/bioinformatics/btu153
Sghaier S, Abbassi MS, Pascual A et al (2019) Extended-spectrum β-lactamase-producing Enterobacteriaceae from animal origin and wastewater in Tunisia: first detection of O25b–B23-CTX-M-27-ST131 Escherichia coli and CTX-M-15/OXA-204-producing Citrobacter freundii from wastewater. J Glob Antimicrob Resist 17:189–194
Sherchan JB, Tada T, Shrestha S et al (2020) Emergence of clinical isolates of highly carbapenem-resistant Klebsiella pneumoniae co-harboring blaNDM-5 and blaOXA-181 or-232 in Nepal. Int J Infect Dis 92:247–252
Sunarno S, Puspandari N, Fitriana F et al (2023) Extended spectrum beta lactamase (ESBL)-producing Escherichia coli and Klebsiella pneumoniae in Indonesia and South East Asian countries: GLASS Data 2018. AIMS Microbiol 9:218
Tamminen M, Virta M, Fani R, Fondi M (2012) Large-scale analysis of plasmid relationships through gene-sharing networks. Mol Biol Evol 29:1225–1240. https://doi.org/10.1093/molbev/msr292
Tyson GH, Li C, Hsu C-H et al (2019) Diverse fluoroquinolone resistance plasmids from retail meat E. coli in the United States. Front Microbiol 10:2826. https://doi.org/10.3389/fmicb.2019.02826
Wick RR, Holt KE (2022) Polypolish: short-read polishing of long-read bacterial genome assemblies. PLoS Comput Biol 18:e1009802. https://doi.org/10.1371/journal.pcbi.1009802
Wick RR, Judd LM, Gorrie CL, Holt KE (2017) Unicycler: resolving bacterial genome assemblies from short and long sequencing reads. PLoS Comput Biol 13:e1005595. https://doi.org/10.1371/journal.pcbi.1005595
William S, Feil H, Copeland A (2012) Bacterial genomic DNA isolation using CTAB. Sigma 50:6876
Xanthopoulou K, Carattoli A, Wille J et al (2020) Antibiotic resistance and mobile genetic elements in extensively drug-resistant Klebsiella pneumoniae sequence type 147 recovered from Germany. Antibiotics 9:675. https://doi.org/10.3390/antibiotics9100675
Xiang D-R, Li J-J, Sheng Z-K et al (2016) Complete Sequence of a Novel IncR-F33: A–: B-Plasmid, pKP1034, Harboring fosA3, bla KPC-2, bla CTX-M-65, bla SHV-12, and rmtB from an Epidemic Klebsiella pneumoniae Sequence Type 11 Strain in China. Antimicrob Agents Chemother 60:1343–1348
Zagui GS, de Almeida OGG, Moreira NC et al (2023) A set of antibiotic-resistance mechanisms and virulence factors in GES-16-producing Klebsiella quasipneumoniae subsp. similipneumoniae from hospital wastewater revealed by whole-genome sequencing. Environ Pollut 316:120645. https://doi.org/10.1016/j.envpol.2022.120645
Zautner AE, Bunk B, Pfeifer Y et al (2017) Monitoring microevolution of OXA-48-producing Klebsiella pneumoniae ST147 in a hospital setting by SMRT sequencing. J Antimicrob Chemother 72:2737–2744. https://doi.org/10.1093/jac/dkx216
Acknowledgements
Authors are grateful to the Director, CSIR-IITR for necessary facilities provided to conduct the research. DS thank CSIR for providing CSIR-SRF fellowship.
Funding
This work was partially funded and supported by institutional grants received from the Council of Scientific & Industrial Research—Indian Institute of Toxicology Research (CSIR-IITR). This manuscript carries the CSIR-IITR communication number: IITR/SEC/MS/2023/58.
Author information
Authors and Affiliations
Contributions
Conceptualization: Natesan Manickam; Methodology: Deeksha Singh, Natesan Manickam; Formal analysis: Deeksha Singh Natesan Manickam, Shilpee Pal, Srikrishna Subramanian; Writing-original draft preparation: Deeksha Singh; Writing-review and editing: Deeksha Singh, Natesan Manickam, Shilpee Pal, Srikrishna Subramanian; Funding acquisition: Natesan Manickam; Validation: Deeksha Singh, Natesan Manickam, Srikrishna Subramanian; and Supervision: Natesan Manickam, Srikrishna Subramanian. All authors have read and approved the manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no competing financial interests or personal relationships which could have affected the work reported in this paper.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Singh, D., Pal, S., Subramanian, S. et al. Comparative genomics of an extensively drug resistant strain Klebsiella pneumoniae IITR008 with international high-risk clonal lineage ST147 isolated from river water. Antonie van Leeuwenhoek 117, 57 (2024). https://doi.org/10.1007/s10482-024-01955-z
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s10482-024-01955-z