Evidence map›Paper›PMID 37004036›Full record

ArticleJournal of biomedical science2023

Reduced virulence in tigecycline-resistant Klebsiella pneumoniae caused by overexpression of ompR and down-regulation of ompK35.

Suyeon Park, Hyunkeun Kim, Kwan Soo Ko

Open access · diamondAbstract read
In one paragraph

Article in Journal of biomedical science, 2023. 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
1.3field-weighted citation impact, top 21% 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, 14 citations in OpenAlex.

  1. Article
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  6. Exploring current hypervirulentFrontiers in microbiology · 2025
    Review
  7. Extended-Spectrum β-Lactamase-ProducingInfection and drug resistance · 2025
    Article
  8. Review
  9. Review
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

3 authors at 2 institutions in 1 country.

Suyeon ParkDepartment of Microbiology, Sungkyunkwan University School of Medicine, Suwon, 16419, Republic of Korea.
Hyunkeun KimDepartment of Advanced Bioconvergence Product, Ministry of Food and Drug Safety, Cheongju, 28159, Republic of Korea.
Kwan Soo KoDepartment of Microbiology, Sungkyunkwan University School of Medicine, Suwon, 16419, Republic of Korea. ksko@skku.edu.ORCID http://orcid.org/0000-0002-0978-1937
Sungkyunkwan University · KRMinistry of Food and Drug Safety · KR

Funding

National Research Foundation of Korea NRF- 2022R1A2B5B02001716
6 · The paper itself

Abstract

backgroundThe development of tigecycline resistance in hypervirulent Klebsiella pneumoniae strains has resulted in decreased virulence that is associated with reduced production of capsular polysaccharides (CPS). In this study, we investigated the mechanisms that link tigecycline susceptibility to decreased virulence.

methodsWe compared transcriptomes from tigecycline-susceptible wild-type strains and tigecycline-resistant mutants using mRNA sequencing. ompR-overexpressed and ompR-deleted mutants were constructed from wild-type strains and tigecycline-resistant mutants, respectively. Antibiotic susceptibility tests were performed, and string tests and precipitation assays were conducted to identify phenotypic changes related to tigecycline susceptibility and ompR expression. Bacterial virulence was assessed by serum resistance and Galleria mellonella infection assays.

resultsTranscriptomic analyses demonstrated a significant decrease in the expression of ompK35 in the tigecycline-resistant mutants. We observed that tigecycline-resistant mutants overexpressed ompR, and that the expression of ompK35 was regulated negatively by ompR. While tigecycline-resistant mutants and ompR-overexpressed mutants exhibited reduced hypermucoviscosity and virulence, deletion of ompR from tigecycline-resistant mutants restored their hypermucoviscosity and virulence.

conclusionsIn hypervirulent K. pneumoniae strains, ompR expression, which is regulated by exposure to tigecycline, may affect the production of CPS, leading to bacterial virulence.

Indexed as

Anti-Bacterial AgentsKlebsiella InfectionsDown-RegulationHumansKlebsiella pneumoniaeMicrobial Sensitivity TestsTigecyclineVirulenceAnti-Bacterial AgentsTigecyclineHypermucoviscosityKlebsiella pneumoniaeompK35ompRTigecycline

Identifiers

PMID37004036
PMCPMC10064660
OpenAlexW4362475799

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.