Evidence map›Paper›PMID 30006589›Full record

ArticleNature communications2018

Population genomics of hypervirulent Klebsiella pneumoniae clonal-group 23 reveals early emergence and rapid global dissemination.

Margaret M C Lam, Kelly L Wyres, Sebastian Duchêne, Ryan R Wick, Louise M Judd, Yunn-Hwen Gan, Chu-Han Hoh, Sophia Archuleta, James S Molton, Shirin Kalimuddin and 4 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 223 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
223citing papers in PubMed, 1 pooled it
9.4field-weighted citation impact, top 1% 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

223 citing papers in PubMed, 1 synthesis or guideline pooled it, 335 citations in OpenAlex.

  1. Pathogens (Basel, Switzerland) · 2024
    Pooled it
  2. Article
  3. ElevatedEmerging microbes & infections · 2026
    Article
  4. Review
  5. RecCVirulence · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Expanding Threat of Carbapenemase-ProducingbioRxiv : the preprint server for biology · 2026
    Article

163 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

14 authors at 5 institutions in 4 countries.

Margaret M C LamDepartment of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute, University of Melbourne, Parkville, Victoria, 3010, Australia.
Kelly L WyresDepartment of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute, University of Melbourne, Parkville, Victoria, 3010, Australia.
Sebastian DuchêneDepartment of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute, University of Melbourne, Parkville, Victoria, 3010, Australia.
Ryan R WickDepartment of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute, University of Melbourne, Parkville, Victoria, 3010, Australia.
Louise M JuddDepartment of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute, University of Melbourne, Parkville, Victoria, 3010, Australia.
Yunn-Hwen GanDepartment of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 119228, Singapore.
Chu-Han HohDepartment of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 119228, Singapore.
Sophia ArchuletaDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 119228, Singapore.
James S MoltonDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 119228, Singapore.ORCID http://orcid.org/0000-0002-2916-2818
Shirin KalimuddinDepartment of Infectious Diseases, Singapore General Hospital, Singapore, 169608, Singapore.
Tse Hsien KohDepartment of Microbiology, Singapore General Hospital, Singapore, 169608, Singapore.
Virginie PassetInstitut Pasteur, Biodiversity and Epidemiology of Bacterial Pathogens, 75015, Paris, France.
Sylvain BrisseInstitut Pasteur, Biodiversity and Epidemiology of Bacterial Pathogens, 75015, Paris, France.
Kathryn E HoltDepartment of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute, University of Melbourne, Parkville, Victoria, 3010, Australia. kholt@unimelb.edu.au.ORCID http://orcid.org/0000-0003-3949-2471
The University of Melbourne · AUNational University of Singapore · SGInstitut Pasteur · FRSingapore General Hospital · SGUniversity of London · GB

Funding

Bill and Melinda Gates Foundation OPP1175797Department of Health | National Health and Medical Research Council (NHMRC) 1061409
6 · The paper itself

Abstract

Severe liver abscess infections caused by hypervirulent clonal-group CG23 Klebsiella pneumoniae have been increasingly reported since the mid-1980s. Strains typically possess several virulence factors including an integrative, conjugative element ICEKp encoding the siderophore yersiniabactin and genotoxin colibactin. Here we investigate CG23's evolutionary history, showing several deep-branching sublineages associated with distinct ICEKp acquisitions. Over 80% of liver abscess isolates belong to sublineage CG23-I, which emerged in ~1928 following acquisition of ICEKp10 (encoding yersiniabactin and colibactin), and then disseminated globally within the human population. CG23-I's distinguishing feature is the colibactin synthesis locus, which reportedly promotes gut colonisation and metastatic infection in murine models. These data show circulation of CG23 K. pneumoniae decades before the liver abscess epidemic was first recognised, and provide a framework for future epidemiological and experimental studies of hypervirulent K. pneumoniae. To support such studies we present an open access, completely sequenced CG23-I human liver abscess isolate, SGH10.

Indexed as

Genome, BacterialPhylogenyAmericasAnimalsAsiaBacterial TranslocationEuropeGene Transfer, HorizontalHumansKlebsiella pneumoniaeLiverLiver Abscess, PyogenicLungMiceMice, Inbred C57BLPeptidescolibactinPeptidesPhenolsPolyketidesThiazolesVirulence Factorsyersiniabactin

Identifiers

PMID30006589
PMCPMC6045662
OpenAlexW2783961388

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.