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ArticleMolecular biology reports2025

KPC-157 and KPC-181 carbapenemases produced by Citrobacter freundii ST522 and Klebsiella pneumoniae ST258 isolated from wastewater.

João Pedro Rueda Furlan, Giovanna Carrasco Bueno, Rubens Renato Sousa-Carmo, Renan Lourenço Oliveira Silva, Mikaela Renata Funada Barbosa, Maria Ines Zanoli Sato, Florencia Brunetti, Pablo Power, Nilton Lincopan, Sergio Schenkman

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Article in Molecular biology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Heterogeneous multicopy of blaNature communications · 2026
    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

10 authors.

João Pedro Rueda FurlanPaulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil. furlanjpr@gmail.com.
Giovanna Carrasco BuenoPaulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil.
Rubens Renato Sousa-CarmoDepartment of Microbiology, Instituto de Ciências Biomédicas, University of São Paulo, São Paulo, Brazil.
Renan Lourenço Oliveira SilvaDepartment of Environmental Analysis, Environmental Company of São Paulo State (CETESB), São Paulo, Brazil.
Mikaela Renata Funada BarbosaDepartment of Environmental Analysis, Environmental Company of São Paulo State (CETESB), São Paulo, Brazil.
Maria Ines Zanoli SatoDepartment of Environmental Analysis, Environmental Company of São Paulo State (CETESB), São Paulo, Brazil.
Florencia BrunettiInstituto de Investigaciones en Bacteriologia y Virología Molecular (IBaViM), Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina.
Pablo PowerInstituto de Investigaciones en Bacteriologia y Virología Molecular (IBaViM), Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina.
Nilton LincopanAntimicrobial Resistance Institute of São Paulo (ARIES), São Paulo, Brazil.
Sergio SchenkmanPaulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil. sschenkman@unifesp.br.

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 21/10599-3
6 · The paper itself

Abstract

backgroundWhile novel KPC variants continue to emerge among clinically relevant Enterobacterales from hospital settings, their occurrence in impacted aquatic environments has been poorly investigated. We hereby report KPC-157 and KPC-181, allelic variants of KPC-2, produced by Citrobacter freundii and Klebsiella pneumoniae isolated from wastewater in Brazil.

methodsAntimicrobial susceptibility was determined by disk diffusion and broth microdilution, whereas carbapenemase production was evaluated by inhibitor-based methods. Genome sequencing was performed combining short-read (Illumina HiSeq) and long-read (Oxford Nanopore) technologies, with further bioinformatic analyses. In silico KPC modeling was carried out using Yasara/PyMOL. Horizontal transfer and plasmid stability were assessed by conjugation and serial passage experiments, respectively. Epidemiological tracking of KPC-2 allelic variants and KPC-bearing plasmids was performed using publicly available genomes.

resultsCarbapenem-resistant C. freundii strain M21 [sequence type (ST) 522] and K. pneumoniae strains M16 and M18 (ST258), harboring bla

conclusionThe identification of KPC-157 and KPC-181 in wastewater highlights the role of polluted environments in harboring novel KPC variants from high-risk Enterobacterales clones and reinforces the importance of continued antimicrobial resistance surveillance beyond hospital settings.

Indexed as

Bacterial Proteinsbeta-LactamasesCitrobacter freundiiKlebsiella pneumoniaeWastewaterAnti-Bacterial AgentsBrazilMicrobial Sensitivity TestsPlasmidsAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasescarbapenemaseWastewaterCarbapenem-resistant EnterobacteralesKlebsiella pneumoniae carbapenemasePlasmidsWastewater-based surveillance

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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.