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2017 ; 7
(ä): 103
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Colibactin Contributes to the Hypervirulence of pks(+) K1 CC23 Klebsiella
pneumoniae in Mouse Meningitis Infections
#MMPMID28409125
Lu MC
; Chen YT
; Chiang MK
; Wang YC
; Hsiao PY
; Huang YJ
; Lin CT
; Cheng CC
; Liang CL
; Lai YC
Front Cell Infect Microbiol
2017[]; 7
(ä): 103
PMID28409125
show ga
Klebsiella pneumoniae is the most common pathogen of community-acquired
meningitis in Taiwan. However, the lack of a physiologically relevant meningitis
model for K. pneumoniae has impeded research into its pathogenesis mechanism.
Based on the core genome MLST analyses, the hypervirulent K1 K. pneumoniae
strains, which are etiologically implicated in adult meningitis, mostly belong to
a single clonal complex, CC23. Some K1 CC23 K. pneumoniae strains carry a gene
cluster responsible for colibactin production. Colibactin is a small genotoxic
molecule biosynthesized by an NRPS-PKS complex, which is encoded by genes located
on the pks island. Compared to other hypervirulent K. pneumoniae which primarily
infect the liver, the colibactin-producing (pks(+)) K1 CC23 strains had
significant tropism toward the brain of BALB/c mice. We aimed in this study to
develop a physiologically relevant meningitis model with the use of pks(+) K1
CC23 K. pneumoniae. Acute meningitis was successfully induced in adult BALB/c
male mice through orogastric, intranasal, and intravenous inoculation of pks(+)
K1 CC23 K. pneumoniae. Besides the typical symptoms of bacterial meningitis,
severe DNA damages, and caspase 3-independent cell death were elicited by the
colibactin-producing K1 CC23 K. pneumoniae strain. The deletion of clbA, which
abolished the production of colibactin, substantially hindered K. pneumoniae
hypervirulence in the key pathogenic steps toward the development of meningitis.
Our findings collectively demonstrated that colibactin was necessary but not
sufficient for the meningeal tropism of pks(+) K1 CC23 K. pneumoniae, and the
mouse model established in this study can be applied to identify other virulence
factors participating in the development of this life-threatening disease.