Evidence map›Paper›PMID 35647656›Full record

ArticleMicrobiology spectrum2022

Unusual Hypermucoviscous Clinical Isolate of Klebsiella pneumoniae with No Known Determinants of Hypermucoviscosity.

Tamal Dey, Ardhendu Chakrabortty, Aastha Kapoor, Anuja Warrier, Vijaya Lakshmi Nag, Karthikeyan Sivashanmugam, Manoharan Shankar

Open access · goldAbstract read
In one paragraph

Article in Microbiology spectrum, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. A systematic review of hypervirulentFrontiers in medicine · 2025
    Pooled it
  2. Hypermucoviscosity inJournal of bacteriology · 2026
    Review
  3. Article
  4. Genomic Analysis of HypervirulentIranian journal of biotechnology · 2026
    Article
  5. Review
  6. Article
  7. The acquisition ofmBio · 2026
    Article
  8. Article
  9. The acquisition ofbioRxiv : the preprint server for biology · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. mSphere · 2024
    Article
  15. Article
  16. HypervirulentPathogens & immunity · 2024
    Review
  17. Temperatures above 37°C increase virulence of a convergentFrontiers in cellular and infection microbiology · 2024
    Article
  18. Article
  19. Article
  20. 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

7 authors at 3 institutions in 1 country.

Tamal DeyDepartment of Bioscience and Bioengineering, Indian Institute of Technology Jodhpurgrid.462385.e, Jodhpur, Rajasthan, India.
Ardhendu ChakraborttyDepartment of Bioscience and Bioengineering, Indian Institute of Technology Jodhpurgrid.462385.e, Jodhpur, Rajasthan, India.
Aastha KapoorDepartment of Bioscience and Bioengineering, Indian Institute of Technology Jodhpurgrid.462385.e, Jodhpur, Rajasthan, India.
Anuja WarrierDepartment of Bioscience and Bioengineering, Indian Institute of Technology Jodhpurgrid.462385.e, Jodhpur, Rajasthan, India.
Vijaya Lakshmi NagDepartment of Microbiology, All India Institute of Medical Sciences Jodhpurgrid.463267.2, Jodhpur, Rajasthan, India.
Karthikeyan SivashanmugamSchool of Bio Sciences and Technology, Vellore Institute of Technology University, Vellore, Tamil Nadu, India.
Manoharan ShankarDepartment of Bioscience and Bioengineering, Indian Institute of Technology Jodhpurgrid.462385.e, Jodhpur, Rajasthan, India.ORCID 0000-0001-8030-2073
Indian Institute of Technology Jodhpur · INAll India Institute of Medical Sciences Jodhpur · INVellore Institute of Technology University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Klebsiella pneumoniae can be broadly classified into classical strains that cause drug-resistant, hospital-associated infections and hypervirulent strains that cause invasive, community-acquired, drug-susceptible infections. Hypermucoviscosity in Klebsiella pneumoniae has been associated with immune evasion and hypervirulence. A string-test-positive, hypermucoviscous strain of Klebsiella pneumoniae, P34, was isolated from the cystic lesion of a patient who reported to a tertiary care hospital in Jodhpur, Rajasthan, India. Given the antibiotic-susceptible and hypermucoviscous nature of the isolate, it was suspected to belong to the hypervirulent lineage of Klebsiella pneumoniae. However, P34 did not overproduce capsular polysaccharides and also remained susceptible to the antimicrobial effects of human serum when tested alongside strains that were non-hypermucoviscous. Sequencing of the genome of P34 revealed the absence of any large virulence plasmids or integrative conjugative elements that usually carry hypermucoviscosity- and hypervirulence-associated genes. P34 also lacked key virulence determinants such as aerobactin, yersiniabactin, and salmochelin biosynthesis clusters. In addition, P34 lacked homologs for genes associated with enhanced capsule synthesis and hypermucoviscosity, such as

Indexed as

Klebsiella InfectionsKlebsiella pneumoniaeBacterial ProteinsHumansIndiaVirulenceVirulence FactorsViscosityBacterial ProteinsVirulence Factorscapsular polysaccharidecapsulehypermucoviscosityKlebsiella pneumoniaevirulence

Identifiers

PMID35647656
PMCPMC9241604
OpenAlexW4281721834

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.