Evidence map›Paper›PMID 30371343›Full record

ArticleGenome medicine2018

Tracking key virulence loci encoding aerobactin and salmochelin siderophore synthesis in Klebsiella pneumoniae.

Margaret M C Lam, Kelly L Wyres, Louise M Judd, Ryan R Wick, Adam Jenney, Sylvain Brisse, Kathryn E Holt

Open access · goldAbstract read
In one paragraph

Article in Genome medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 173 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
173citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% 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

173 citing papers in PubMed, 1 synthesis or guideline pooled it, 256 citations in OpenAlex.

  1. Pooled it
  2. Carbapenemase-producingEmerging microbes & infections · 2026
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  10. The genomic landscape of Klebsiella pneumoniae in Russia.World journal of microbiology & biotechnology · 2026
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  14. Genomic analysis ofbioRxiv : the preprint server for biology · 2026
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  17. Review
  18. <p>Molecular medicine reports · 2026
    Review
  19. Emergence of Carbapenem-Resistant Hypervirulent ST111 K63Polish journal of microbiology · 2026
    Article
  20. Article

113 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

7 authors at 4 institutions in 3 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.
Louise M JuddDepartment 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.
Adam JenneyDepartment of Infectious Diseases and Microbiology Unit, The Alfred Hospital, Melbourne, Victoria, 3004, Australia.
Sylvain BrisseBiodiversity and Epidemiology of Bacterial Pathogens, Institut Pasteur, 75015, Paris, France.
Kathryn E HoltDepartment of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute, University of Melbourne, Parkville, Victoria, 3010, Australia. kat.holt@lshtm.ac.uk.
University of Melbourne · AUInstitut Pasteur · FRLondon School of Hygiene & Tropical Medicine · GBThe Alfred Hospital · AU

Funding

National Health and Medical Research Council 1043822Sylvia and Charles Viertel Charitable Foundation Senior Medical Research Fellowship
6 · The paper itself

Abstract

backgroundKlebsiella pneumoniae is a recognised agent of multidrug-resistant (MDR) healthcare-associated infections; however, individual strains vary in their virulence potential due to the presence of mobile accessory genes. In particular, gene clusters encoding the biosynthesis of siderophores aerobactin (iuc) and salmochelin (iro) are associated with invasive disease and are common amongst hypervirulent K. pneumoniae clones that cause severe community-associated infections such as liver abscess and pneumonia. Concerningly, iuc has also been reported in MDR strains in the hospital setting, where it was associated with increased mortality, highlighting the need to understand, detect and track the mobility of these virulence loci in the K. pneumoniae population.

methodsHere, we examined the genetic diversity, distribution and mobilisation of iuc and iro loci amongst 2503 K. pneumoniae genomes using comparative genomics approaches and developed tools for tracking them via genomic surveillance.

resultsIro and iuc were detected at low prevalence (< 10%). Considerable genetic diversity was observed, resolving into five iro and six iuc lineages that show distinct patterns of mobilisation and dissemination in the K. pneumoniae population. The major burden of iuc and iro amongst the genomes analysed was due to two linked lineages (iuc1/iro1 74% and iuc2/iro2 14%), each carried by a distinct non-self-transmissible IncFIB

conclusionsIuc and iro are mobilised in K. pneumoniae via a limited number of MGEs. This study provides a framework for identifying and tracking these important virulence loci, which will be important for genomic surveillance efforts including monitoring for the emergence of hypervirulent MDR K. pneumoniae strains.

Indexed as

Genetic LociDNA Transposable ElementsEnterobactinEscherichia coliGenetic VariationHydroxamic AcidsKlebsiella pneumoniaePhylogenyPlasmidsSiderophoresVirulenceaerobactinDNA Transposable ElementsEnterobactinHydroxamic AcidsSiderophoresAerobactinGenomic surveillanceHypervirulenceInvasive diseaseKlebsiella pneumoniaePlasmidsSalmochelinVirulenceVirulence plasmids

Identifiers

PMID30371343
PMCPMC6205773
OpenAlexW2883695479

What OpenQuestion holds

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LicenceCC BY
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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.