Work

Acquired resistance to innate immune clearance promotes Klebsiella pneumoniae ST258 pulmonary infection

Year: 2016
Type: article
Abstract: Adaptive changes in the genome of a locally predominant clinical isolate of the multidrug-resistant Klebsiella pneumoniae ST258 (KP35) were identified and help to explain the selection of this strain as a successful pulmonary pathogen. The acquisition of 4 new ortholog groups, including an arginine transporter, enabled KP35 to outcompete related ST258 strains lacking these genes. KP35 infection elicited a monocytic response, dominated by Ly6C hi monocytic myeloid-derived suppressor cells that lacked phagocytic capabilities, expressed IL-10, arginase, and antiinflammatory surface markers. In comparison with other K . pneumoniae strains, KP35 induced global changes in the phagocytic response identified with proteomics, including evasion of Ca 2+ and calpain activation necessary for phagocytic killing, confirmed in functional studies with neutrophils. This comprehensive analysis of an ST258 K . pneumoniae isolate reveals ongoing genetic adaptation to host microenvironments and innate immune clearance mechanisms that complements its repertoire of antimicrobial resistance genes and facilitates persistence in the lung.
Source: JCI Insight
Language: English
Open Access status: gold
Estimated APC paid: $4,100
OpenAlex ID: W2536025871
FWCI: 2.764
Cites: 53
Cited by: 65
Related to: 10