Evidence map›Paper›PMID 40133255›Full record

ArticleNature communications2025

Rapid and Integrated Bacterial Evolution Analysis unveils gene mutations and clinical risk of Klebsiella pneumoniae.

Kojiro Uemura, Toyotaka Sato, Soh Yamamoto, Noriko Ogasawara, Jirachaya Toyting, Kotaro Aoki, Akira Takasawa, Masayuki Koyama, Atsushi Saito, Takayuki Wada and 10 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Emergence ofbioRxiv : the preprint server for biology · 2025
    Article
  3. 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

20 authors.

Kojiro UemuraDepartment of Microbiology, Sapporo Medical University School of Medicine, Chuo-Ku, Sapporo, Japan.
Toyotaka SatoDepartment of Microbiology, Sapporo Medical University School of Medicine, Chuo-Ku, Sapporo, Japan. sato.t@vetmed.hokudai.ac.jp.ORCID http://orcid.org/0000-0001-7223-1623
Soh YamamotoDepartment of Microbiology, Sapporo Medical University School of Medicine, Chuo-Ku, Sapporo, Japan.
Noriko OgasawaraDepartment of Microbiology, Sapporo Medical University School of Medicine, Chuo-Ku, Sapporo, Japan.ORCID http://orcid.org/0000-0002-6014-3607
Jirachaya ToytingLaboratory of Veterinary Hygiene, Faculty of Veterinary Medicine, Hokkaido University, Kita-Ku, Sapporo, Japan.ORCID http://orcid.org/0009-0001-6083-8767
Kotaro AokiDepartment of Microbiology and Infectious Diseases, Toho University School of Medicine, 5-21-16 Omori-nishi, Ota-ku, Tokyo, Japan.ORCID http://orcid.org/0000-0002-9237-1217
Akira TakasawaDepartment of Pathology, Asahikawa Medical University, Asahikawa, Japan.
Masayuki KoyamaDepartment of Public Health, Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Chuo-Ku, Sapporo, Japan.ORCID http://orcid.org/0000-0002-8165-5855
Atsushi SaitoDepartment of Respiratory Medicine, Sapporo Medical University School of Medicine, Chuo-Ku, Sapporo, Japan.ORCID http://orcid.org/0000-0003-3430-884X
Takayuki WadaGraduate School of Human Life and Ecology, Osaka Metropolitan University, 3-3-138, Sugimoto, Sumiyoshi-ku, Osaka, Japan.
Kaho OkadaLaboratory of Veterinary Hygiene, Faculty of Veterinary Medicine, Hokkaido University, Kita-Ku, Sapporo, Japan.
Yurie YoshidaDepartment of Otolaryngology-Head and Neck Surgery, Sapporo Medical University School of Medicine, Chuo-Ku, Sapporo, Japan.
Koji KuronumaDepartment of Respiratory Medicine, Sapporo Medical University School of Medicine, Chuo-Ku, Sapporo, Japan.
Chie NakajimaDivision of Bioresources, Hokkaido University International Institute for Zoonosis Control, N20, Kita-Ku, Sapporo, Japan.
Yasuhiko SuzukiDivision of Bioresources, Hokkaido University International Institute for Zoonosis Control, N20, Kita-Ku, Sapporo, Japan.ORCID http://orcid.org/0000-0002-1313-1494
Motohiro HoriuchiLaboratory of Veterinary Hygiene, Faculty of Veterinary Medicine, Hokkaido University, Kita-Ku, Sapporo, Japan.
Kenichi TakanoVeterinary Research Unit, International Institute for Zoonosis Control, Sapporo, University, Kita-Ku, Sapporo, Japan.
Satoshi TakahashiDepartment of Infection Control and Laboratory Medicine, Sapporo Medical University School of Medicine, Chuo-Ku, Sapporo, Japan.
Hirofumi ChibaDepartment of Respiratory Medicine, Sapporo Medical University School of Medicine, Chuo-Ku, Sapporo, Japan.
Shin-Ichi YokotaDepartment of Microbiology, Sapporo Medical University School of Medicine, Chuo-Ku, Sapporo, Japan.ORCID http://orcid.org/0000-0002-0831-3429

Funding

Japan Agency for Medical Research and Development (AMED) 23gm1610012h0001, JP22wm0125008, JP23wm0125008, JP233fa627005Japan Agency for Medical Research and Development (AMED) JP20ak0101118h0002, 22jk021004h0001, 23gm1610012h0001MEXT | Japan Society for the Promotion of Science (JSPS) JP21H03622 and JP22K19416
6 · The paper itself

Abstract

Bacteria continually evolve. Previous studies have evaluated bacterial evolution in retrospect, but this approach is based on only speculation. Cohort studies are reliable but require a long duration. Additionally, identifying which genetic mutations that have emerged during bacterial evolution possess functions of interest to researchers is an exceptionally challenging task. Here, we establish a Rapid and Integrated Bacterial Evolution Analysis (RIBEA) based on serial passaging experiments using hypermutable strains, whole-genome and transposon-directed sequencing, and in vivo evaluations to monitor bacterial evolution in a cohort for one month. RIBEA reveals bacterial factors contributing to serum and antimicrobial resistance by identifying gene mutations that occurred during evolution in the major respiratory pathogen Klebsiella pneumoniae. RIBEA also enables the evaluation of the risk for the progression and the development of invasive ability from the lung to blood and antimicrobial resistance. Our results demonstrate that RIBEA enables the observation of bacterial evolution and the prediction and identification of clinically relevant high-risk bacterial strains, clarifying the associated pathogenicity and the development of antimicrobial resistance at genetic mutation level.

Indexed as

Evolution, MolecularKlebsiella InfectionsKlebsiella pneumoniaeMutationAnimalsAnti-Bacterial AgentsDNA Transposable ElementsDrug Resistance, BacterialFemaleGenome, BacterialHumansMiceMicrobial Sensitivity TestsWhole Genome SequencingAnti-Bacterial AgentsDNA Transposable Elements

Identifiers

PMID40133255
PMCPMC11937256

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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.