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Hypervirulent (hvKp) and classical multidrug-resistant (MDR) strains belong to distinct lineages and hvKp are typically characterized by hypermucoid capsules that have been shown to limit horizontal gene transfer (HGT), including plasmid acquisition. However, the convergence of hypervirulence and MDR is increasingly common worldwide. When we profiled 127 antibiotic-susceptible hvKp strains, we found that most (86%) are highly permissive to plasmid transfer despite their capsules. In the few strains that showed low permissiveness, we identified two restriction modification (RM) systems: the Type IV restriction system McrBC that targets bacteriophage, and a unique Type I RM system. Both systems effectively inhibit plasmid uptake in recipient strains. Further analysis reveals that L-arginine and spermidine metabolism regulates the Type I-like RM system through S-adenosyl methionine. Strains lacking these RM systems were highly receptive to plasmids, and clinical isolates worldwide often lack these systems, correlating with their antibiotic resistance. Collectively, our study provides the first report on the susceptibility of hvKp strains to plasmid transfer and evidence of unusual RM systems restricting plasmid acquisition. It reveals an arms race between plasmids evolving to bypass RM systems and host strains developing new defenses. This dynamic and the rarity of these RM systems help explain the emergence of MDR hvKp strains in clinical settings driven by antibiotic pressure.
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http://dx.doi.org/10.1080/22221751.2025.2558877 | DOI Listing |
Emerg Microbes Infect
September 2025
Infectious Diseases Translational Research Programme, Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Hypervirulent (hvKp) and classical multidrug-resistant (MDR) strains belong to distinct lineages and hvKp are typically characterized by hypermucoid capsules that have been shown to limit horizontal gene transfer (HGT), including plasmid acquisition. However, the convergence of hypervirulence and MDR is increasingly common worldwide. When we profiled 127 antibiotic-susceptible hvKp strains, we found that most (86%) are highly permissive to plasmid transfer despite their capsules.
View Article and Find Full Text PDFInt J Microbiol
August 2025
Clinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran.
is an opportunistic pathogen linked to a range of severe infections. It is classified into classic (cKp) and hypervirulent (hvKp) forms, with hvKp showing enhanced virulence. This study examines Type VI secretion system (T6SS) presence and virulence factors in cKp and hvKp strains while assessing antimicrobial resistance.
View Article and Find Full Text PDFSci Rep
August 2025
Department of Microbiology and Virology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Hypervirulent Klebsiella pneumoniae (hvKp) has emerged as a clinically significant pathogen that can cause severe infections, even in immunocompetent hosts. Unlike classical K. pneumoniae (cKp), hvKp exhibits enhanced virulence characterized by hypermucoviscosity and the presence of key genetic determinants.
View Article and Find Full Text PDFAnn Clin Microbiol Antimicrob
August 2025
Microbiology Service, Valdecilla Research Institute (IDIVAL), University Hospital Marqués de Valdecilla, Av. de Valdecilla, s/n, 39008, Santander, Cantabria, Spain.
Background: Hypervirulent K. pneumoniae (hvKp) strains are characterized by their enhanced ability to evade immune responses and disseminate systemically. Rapid identification of hvKp strains is critical for guiding clinical management and implementing effective infection control measures.
View Article and Find Full Text PDFInt J Med Microbiol
July 2025
Friedrich Loeffler-Institute of Medical Microbiology, University Medicine Greifswald, Greifswald, Ferdinand-Sauerbruch-Str., Greifswald 17475, Germany; Institute of Medical Microbiology, University Hospital Münster, Domagkstraße 10, Münster 48149, Germany. Electronic address: evgeny.idelevich@med
Background: Infections caused by hypervirulent Klebsiella pneumoniae (hvKp) are often characterised by severe, metastatic and relapsing infections. Initially described in Asia, this pathotype has now expanded worldwide. Convergent strains combining hypervirulence with multidrug resistance additionally aggravate the situation.
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