Structural modification of LPS in colistin-resistant, KPC-producing Klebsiella pneumoniae

Colistin resistance in Klebsiella pneumoniae typically involves inactivation or mutations of chromosomal genes mgrB, pmrAB or phoPQ, but data regarding consequent modifications of LPS are limited. To examine the sequences of chromosomal loci implicated in colistin resistance and the respective LPS-d...

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Veröffentlicht in:Journal of antimicrobial chemotherapy 2017-11, Vol.72 (11), p.3035-3042
Hauptverfasser: Leung, Lisa M, Cooper, Vaughn S, Rasko, David A, Guo, Qinglan, Pacey, Marissa P, McElheny, Christi L, Mettus, Roberta T, Yoon, Sung Hwan, Goodlett, David R, Ernst, Robert K, Doi, Yohei
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container_end_page 3042
container_issue 11
container_start_page 3035
container_title Journal of antimicrobial chemotherapy
container_volume 72
creator Leung, Lisa M
Cooper, Vaughn S
Rasko, David A
Guo, Qinglan
Pacey, Marissa P
McElheny, Christi L
Mettus, Roberta T
Yoon, Sung Hwan
Goodlett, David R
Ernst, Robert K
Doi, Yohei
description Colistin resistance in Klebsiella pneumoniae typically involves inactivation or mutations of chromosomal genes mgrB, pmrAB or phoPQ, but data regarding consequent modifications of LPS are limited. To examine the sequences of chromosomal loci implicated in colistin resistance and the respective LPS-derived lipid A profiles using 11 pairs of colistin-susceptible and -resistant KPC-producing K. pneumoniae clinical strains. The strains were subjected to high-throughput sequencing with Illumina HiSeq. The mgrB gene was amplified by PCR and sequenced. Lipid profiles were determined using MALDI-TOF MS. All patients were treated with colistimethate prior to the isolation of colistin-resistant strains (MIC >2 mg/L). Seven of 11 colistin-resistant strains had deletion or insertional inactivation of mgrB. Three strains, including one with an mgrB deletion, had non-synonymous pmrB mutations associated with colistin resistance. When analysed by MALDI-TOF MS, all colistin-resistant strains generated mass spectra containing ions at m/z 1955 and 1971, consistent with addition of 4-amino-4-deoxy-l-arabinose (Ara4N) to lipid A, whereas only one of the susceptible strains displayed this lipid A phenotype. The pathway to colistin resistance in K. pneumoniae primarily involves lipid A modification with Ara4N in clinical settings.
doi_str_mv 10.1093/jac/dkx234
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To examine the sequences of chromosomal loci implicated in colistin resistance and the respective LPS-derived lipid A profiles using 11 pairs of colistin-susceptible and -resistant KPC-producing K. pneumoniae clinical strains. The strains were subjected to high-throughput sequencing with Illumina HiSeq. The mgrB gene was amplified by PCR and sequenced. Lipid profiles were determined using MALDI-TOF MS. All patients were treated with colistimethate prior to the isolation of colistin-resistant strains (MIC &gt;2 mg/L). Seven of 11 colistin-resistant strains had deletion or insertional inactivation of mgrB. Three strains, including one with an mgrB deletion, had non-synonymous pmrB mutations associated with colistin resistance. When analysed by MALDI-TOF MS, all colistin-resistant strains generated mass spectra containing ions at m/z 1955 and 1971, consistent with addition of 4-amino-4-deoxy-l-arabinose (Ara4N) to lipid A, whereas only one of the susceptible strains displayed this lipid A phenotype. 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To examine the sequences of chromosomal loci implicated in colistin resistance and the respective LPS-derived lipid A profiles using 11 pairs of colistin-susceptible and -resistant KPC-producing K. pneumoniae clinical strains. The strains were subjected to high-throughput sequencing with Illumina HiSeq. The mgrB gene was amplified by PCR and sequenced. Lipid profiles were determined using MALDI-TOF MS. All patients were treated with colistimethate prior to the isolation of colistin-resistant strains (MIC &gt;2 mg/L). Seven of 11 colistin-resistant strains had deletion or insertional inactivation of mgrB. Three strains, including one with an mgrB deletion, had non-synonymous pmrB mutations associated with colistin resistance. When analysed by MALDI-TOF MS, all colistin-resistant strains generated mass spectra containing ions at m/z 1955 and 1971, consistent with addition of 4-amino-4-deoxy-l-arabinose (Ara4N) to lipid A, whereas only one of the susceptible strains displayed this lipid A phenotype. 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To examine the sequences of chromosomal loci implicated in colistin resistance and the respective LPS-derived lipid A profiles using 11 pairs of colistin-susceptible and -resistant KPC-producing K. pneumoniae clinical strains. The strains were subjected to high-throughput sequencing with Illumina HiSeq. The mgrB gene was amplified by PCR and sequenced. Lipid profiles were determined using MALDI-TOF MS. All patients were treated with colistimethate prior to the isolation of colistin-resistant strains (MIC &gt;2 mg/L). Seven of 11 colistin-resistant strains had deletion or insertional inactivation of mgrB. Three strains, including one with an mgrB deletion, had non-synonymous pmrB mutations associated with colistin resistance. When analysed by MALDI-TOF MS, all colistin-resistant strains generated mass spectra containing ions at m/z 1955 and 1971, consistent with addition of 4-amino-4-deoxy-l-arabinose (Ara4N) to lipid A, whereas only one of the susceptible strains displayed this lipid A phenotype. The pathway to colistin resistance in K. pneumoniae primarily involves lipid A modification with Ara4N in clinical settings.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>28961916</pmid><doi>10.1093/jac/dkx234</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Amino Sugars - pharmacology
Anti-Bacterial Agents - pharmacology
Bacterial Proteins - genetics
beta-Lactamases - biosynthesis
Chromosomes, Bacterial
Colistin - pharmacology
Drug Resistance, Bacterial - genetics
Female
Humans
Klebsiella Infections - microbiology
Klebsiella pneumoniae - chemistry
Klebsiella pneumoniae - drug effects
Klebsiella pneumoniae - enzymology
Klebsiella pneumoniae - genetics
Lipid A - chemistry
Lipid A - metabolism
Lipopolysaccharides - chemistry
Male
Membrane Proteins - genetics
Microbial Sensitivity Tests
Middle Aged
Mutagenesis, Insertional
Original Research
title Structural modification of LPS in colistin-resistant, KPC-producing Klebsiella pneumoniae
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