Evidence map›Paper›PMID 25451047›Full record

ArticleAntimicrobial agents and chemotherapy2015

Identification of capsular types in carbapenem-resistant Klebsiella pneumoniae strains by wzc sequencing and implications for capsule depolymerase treatment.

Yi-Jiun Pan, Tzu-Lung Lin, Yi-Tsung Lin, Po-An Su, Chun-Tang Chen, Pei-Fang Hsieh, Chun-Ru Hsu, Ching-Ching Chen, Yu-Chia Hsieh, Jin-Town Wang

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 125 citations in OpenAlex.

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  8. Glycoconjugate Vaccines Against Nosocomial Klebsiella pneumoniae Infections.Advances in experimental medicine and biology · 2026
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  14. mBio · 2024
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  15. Acta pharmaceutica Sinica. B · 2024
    Review
  16. Characterization of aFrontiers in veterinary science · 2024
    Article
  17. Article
  18. Article
  19. Review
  20. Article

30 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Yi-Jiun PanDepartment of Microbiology, National Taiwan University College of Medicine, Taipei, Taiwan.
Tzu-Lung LinDepartment of Microbiology, National Taiwan University College of Medicine, Taipei, Taiwan.
Yi-Tsung LinDivision of Infectious Diseases, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Po-An SuDepartment of Microbiology, National Taiwan University College of Medicine, Taipei, Taiwan.
Chun-Tang ChenDepartment of Microbiology, National Taiwan University College of Medicine, Taipei, Taiwan.
Pei-Fang HsiehDepartment of Microbiology, National Taiwan University College of Medicine, Taipei, Taiwan.
Chun-Ru HsuDepartment of Microbiology, National Taiwan University College of Medicine, Taipei, Taiwan.
Ching-Ching ChenDepartment of Microbiology, National Taiwan University College of Medicine, Taipei, Taiwan.
Yu-Chia HsiehDepartment of Pediatrics, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taoyuan, Taiwan.
Jin-Town WangDepartment of Microbiology, National Taiwan University College of Medicine, Taipei, Taiwan Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan wangjt@ntu.edu.tw.
National Taiwan University · TWChang Gung University · TWTaipei Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Klebsiella pneumoniae is an important human pathogen associated with a variety of diseases, and the prevalence of multidrug-resistant K. pneumoniae (MDRKP) is rapidly increasing. Here we determined the capsular types of 85 carbapenem-resistant K. pneumoniae (CRKP) strains by wzc sequencing and investigated the presence of carbapenemases and integrons among CRKP strains. Ten CRKP strains (12%) were positive for carbapenemase (imipenemase, 6/85 strains; K. pneumoniae carbapenemase, 3/85 strains; Verona integron-encoded metallo-β-lactamase, 1/85 strains). Capsular type K64 accounted for 32 CRKP strains (38%), followed by K62 (13%), K24 (8%), KN2 (7%), and K28 (6%). Sequence types (STs) were determined by multilocus sequence typing (MLST), and the results indicated that ST11, which accounted for 47% of these CRKP strains (40/85 strains), was the major ST. We further isolated a K64-specific capsule depolymerase (K64dep), which could enhance serum and neutrophil killing in vitro and increase survival rates for K64 K. pneumoniae-inoculated mice. The toxicity study demonstrated that mice treated with K64dep showed normal biochemical parameters and no significant histopathological changes of liver, kidney, and spleen, indicating that enzyme treatment did not cause toxicity in mice. Therefore, the findings of capsular type clustering among CRKP strains and effective treatment with capsule depolymerase for MDRKP infections are important for capsule-based vaccine development and therapy.

Indexed as

AnimalsAnti-Bacterial AgentsBacterial CapsulesCarbapenemsElectrophoresis, Gel, Pulsed-FieldFemaleGlycoside HydrolasesHumansKlebsiella pneumoniaeMiceMice, Inbred BALB CAnti-Bacterial Agentscapsular-polysaccharide galactohydrolaseCarbapenemsGlycoside Hydrolases

Identifiers

PMID25451047
PMCPMC4335867
OpenAlexW2000443479

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.