Evidence map›Paper›PMID 31554924›Full record

ArticleScientific reports2019

ICEKp2: description of an integrative and conjugative element in Klebsiella pneumoniae, co-occurring and interacting with ICEKp1.

Robeena Farzand, Kumar Rajakumar, Roxana Zamudio, Marco R Oggioni, Michael R Barer, Helen M O'Hare

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.5field-weighted citation impact, top 44% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Hypervirulent and Drug-ResistantInternational journal of general medicine · 2026
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  2. Antibiotic resistance inFrontiers in microbiology · 2026
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  3. Mobile genetic elements inJournal of bacteriology · 2025
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  4. Article
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  6. Molecular analysis of clinicalFrontiers in microbiology · 2023
    Article
  7. Article
  8. Article
  9. The NewGenes · 2020
    Article
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

6 authors at 2 institutions in 2 countries.

Robeena FarzandLeicester Microbial Sciences and Infectious Diseases Network, Department of Respiratory Sciences, University of Leicester, Leicester, UK.
Kumar RajakumarLeicester Microbial Sciences and Infectious Diseases Network, Department of Respiratory Sciences, University of Leicester, Leicester, UK.
Roxana ZamudioDepartment of Genetics and Genome Biology, University of Leicester, Leicester, UK.
Marco R OggioniDepartment of Genetics and Genome Biology, University of Leicester, Leicester, UK.
Michael R BarerLeicester Microbial Sciences and Infectious Diseases Network, Department of Respiratory Sciences, University of Leicester, Leicester, UK.
Helen M O'HareLeicester Microbial Sciences and Infectious Diseases Network, Department of Respiratory Sciences, University of Leicester, Leicester, UK. hmo7@le.ac.uk.
University of Leicester · GBKohat University of Science and Technology · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Klebsiella pneumoniae is a human pathogen, prominent in antimicrobial-resistant and nosocomial infection. The integrative and conjugative element ICEKp1 is present in a third of clinical isolates and more prevalent in invasive disease; it provides genetic diversity and enables the spread of virulence-associated genes. We report a second integrative conjugative element that can co-occur with ICEKp1 in K. pneumoniae. This element, ICEKp2, is similar to the Pseudomonas aeruginosa pathogenicity island PAPI. We identified ICEKp2 in K. pneumoniae sequence types ST11, ST258 and ST512, which are associated with carbapenem-resistant outbreaks in China and the US, including isolates with and without ICEKp1. ICEKp2 was competent for excision, but self-mobilisation to recipient Escherichia coli was not detected. In an isolate with both elements, ICEKp2 positively influenced the efficiency of plasmid mobilisation driven by ICEKp1. We propose a putative mechanism, in which a Mob2 ATPase of ICEKp2 may contribute to the ICEKp1 conjugation machinery. Supporting this mechanism, mob2, but not a variant with mutations in the ATPase motif, restored transfer efficiency to an ICEKp2 knockout. This is the first demonstration of the interaction between integrative and conjugative genetic elements in a single Gram-negative bacterium with implications for understanding evolution by horizontal gene transfer.

Indexed as

Bacterial ProteinsChinaDrug Resistance, Multiple, BacterialEscherichia coliGene Transfer, HorizontalHumansKlebsiella InfectionsKlebsiella pneumoniaeMutationPlasmidsPseudomonas aeruginosaVirulenceBacterial Proteins

Identifiers

PMID31554924
PMCPMC6761156
OpenAlexW2977125422

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.