Evidence map›Paper›PMID 26196384›Full record

ArticlePloS one2015

Genomic Analysis of the Emergence and Rapid Global Dissemination of the Clonal Group 258 Klebsiella pneumoniae Pandemic.

Jolene R Bowers, Brandon Kitchel, Elizabeth M Driebe, Duncan R MacCannell, Chandler Roe, Darrin Lemmer, Tom de Man, J Kamile Rasheed, David M Engelthaler, Paul Keim and 1 more

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 149 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
149citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

149 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. A posttranslational modification of fimbriae drives pathogenicity inProceedings of the National Academy of Sciences of the United States of America · 2026
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  6. Clonal dissemination and plasmid plasticity of KPC-3-producing Klebsiella pneumoniae ST512 during a hospital outbreak in Spain.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  7. Review
  8. Review
  9. Carbapenem-resistantbioRxiv : the preprint server for biology · 2026
    Article
  10. Differential virulence potential of different clades of multidrug-resistantmedRxiv : the preprint server for health sciences · 2026
    Article
  11. Antibiotic Resistance inAntibiotics (Basel, Switzerland) · 2026
    Review
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  19. Article
  20. Bacteriophage treatment is effective against carbapenem-resistantAntimicrobial agents and chemotherapy · 2025
    Article

89 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

11 authors.

Jolene R BowersTranslational Genomics Research Institute, Flagstaff, Arizona, United States of America.
Brandon KitchelDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Elizabeth M DriebeTranslational Genomics Research Institute, Flagstaff, Arizona, United States of America.
Duncan R MacCannellDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Chandler RoeTranslational Genomics Research Institute, Flagstaff, Arizona, United States of America.
Darrin LemmerTranslational Genomics Research Institute, Flagstaff, Arizona, United States of America.
Tom de ManDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
J Kamile RasheedDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
David M EngelthalerTranslational Genomics Research Institute, Flagstaff, Arizona, United States of America.
Paul KeimTranslational Genomics Research Institute, Flagstaff, Arizona, United States of America.
Brandi M LimbagoDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.

Funding

Molecular Antibiotic Resistance Arrays for clinical microbiology laboratoriesR01AI090782 · NIAID · TRANSLATIONAL GENOMICS RESEARCH INST · PI KEIM, PAUL STEPHEN · 2010 to 2014
$4.6M
NIAID NIH HHS R01 AI090782NIAID NIH HHS R01AI090782
6 · The paper itself

Abstract

Multidrug-resistant Klebsiella pneumoniae producing the KPC carbapenemase have rapidly spread throughout the world, causing severe healthcare-associated infections with limited antimicrobial treatment options. Dissemination of KPC-producing K. pneumoniae is largely attributed to expansion of a single dominant strain, ST258. In this study, we explore phylogenetic relationships and evolution within ST258 and its clonal group, CG258, using whole genome sequence analysis of 167 isolates from 20 countries collected over 17 years. Our results show a common ST258 ancestor emerged from its diverse parental clonal group around 1995 and likely acquired blaKPC prior to dissemination. Over the past two decades, ST258 has remained highly clonal despite diversity in accessory elements and divergence in the capsule polysaccharide synthesis locus. Apart from the large recombination event that gave rise to ST258, few mutations set it apart from its clonal group. However, one mutation occurs in a global transcription regulator. Characterization of outer membrane protein sequences revealed a profile in ST258 that includes a truncated OmpK35 and modified OmpK37. Our work illuminates potential genomic contributors to the pathogenic success of ST258, helps us better understand the global dissemination of this strain, and identifies genetic markers unique to ST258.

Indexed as

Genome, BacterialPandemicsBacterial ProteinsBase SequenceEvolution, MolecularHumansKlebsiella pneumoniaeMolecular Sequence DataMutationPhylogenyPneumoniaPorinsBacterial ProteinsOmpK37 protein, Klebsiella pneumoniaePorins

Identifiers

PMID26196384
PMCPMC4510304

What OpenQuestion holds

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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.