Evidence map›Paper›PMID 42243268›Full record

ArticleScientific reports2026

Genomic characterization of multidrug-resistant Klebsiella pneumoniae clinical isolates from India.

Deepali Desai, Tina Sharma, Nageswari Gandham, Priyanka Khopkar-Kale, Neeraj Bharti, Sunitha Manjari Kasibhatla, Uddhavesh Sonavane, Ruma Banerjee

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Deepali DesaiDepartment of Microbiology, Dr. D. Y. Patil Medical College Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pimpri, Pune, 411018, India.
Tina SharmaHPC-Medical & Bioinformatics Applications Group, Centre for Development of Advanced Computing (C-DAC), Innovation Park, Panchawati, Pashan, Pune, 411008, India.
Nageswari GandhamDepartment of Microbiology, Dr. D. Y. Patil Medical College Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pimpri, Pune, 411018, India.
Priyanka Khopkar-KaleCentral Research Facility, Dr. D. Y. Patil Medical College Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pimpri, Pune, 411018, India. priyankakhopkar@gmail.com.
Neeraj BhartiHPC-Medical & Bioinformatics Applications Group, Centre for Development of Advanced Computing (C-DAC), Innovation Park, Panchawati, Pashan, Pune, 411008, India.
Sunitha Manjari KasibhatlaHPC-Medical & Bioinformatics Applications Group, Centre for Development of Advanced Computing (C-DAC), Innovation Park, Panchawati, Pashan, Pune, 411008, India.
Uddhavesh SonavaneHPC-Medical & Bioinformatics Applications Group, Centre for Development of Advanced Computing (C-DAC), Innovation Park, Panchawati, Pashan, Pune, 411008, India.
Ruma BanerjeeHPC-Medical & Bioinformatics Applications Group, Centre for Development of Advanced Computing (C-DAC), Innovation Park, Panchawati, Pashan, Pune, 411008, India. rumas@cdac.in.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Klebsiella pneumoniae is an emerging global threat driven by rising antimicrobial resistance and the spread of hypervirulent lineages. To investigate its evolving genomic landscape in India, we characterized two clinical K. pneumoniae isolates, NG_299 and NG_300, obtained from a tertiary care hospital in Pune and analyzed them in the context of Indian and global isolate collections. Comprehensive phenotypic and genomic analyses were performed using antimicrobial susceptibility testing, Illumina NovaSeq whole-genome sequencing and PCR-based confirmation of resistance and virulence markers. Both isolates exhibited multidrug resistance, remaining susceptible to only a limited subset of tested antibiotics. NG_299 (ST231) was susceptible to amikacin, colistin, and trimethoprim/sulfamethoxazole, whereas NG_300 (ST20) was found to be susceptible only to colistin and trimethoprim/sulfamethoxazole. Genomic profiling revealed thirty-two resistance determinants in NG_299 and fifty-two in NG_300, both of which produce extended-spectrum β-lactamases. Carbapenem resistance was linked to metallo-β-lactamase activity and the presence of AmpC was confirmed by antimicrobial susceptibility testing and PCR in NG_300. Pan-genome resistome analysis of global isolates identified conserved core genes (CRP, PhoP, rpoB) and a sparse occurrence of AMR genes (NDM, CTX-M, KPC, OXA, mcr) associated with horizontal gene transfer. Notably, NDM and CTX-M were present in both study isolates, with OXA variants detected in NG_299. Distinct missense mutations within shared resistance genes highlighted independent evolutionary trajectories. Both isolates carried virulence factors associated with adhesion, biofilm formation, iron acquisition, and secretion systems, including siderophores. Plasmid analysis identified IncF replicons in both isolates and blaNDM-5 on an IncFII plasmid in NG_299. These findings document the circulation of multidrug-resistant K. pneumoniae in Pune and underscore the urgent need for strengthened genomic surveillance.

Indexed as

Drug Resistance, Multiple, BacterialGenome, BacterialKlebsiella InfectionsKlebsiella pneumoniaeAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesGenomicsHumansIndiaMicrobial Sensitivity TestsWhole Genome SequencingAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesAntimicrobial resistanceCTX-MExtended-spectrum β-lactamasesKlebsiella pneumoniaeNDMOXAPhenotypic characterizationSNP identificationWhole genome sequencing

Identifiers

PMID42243268
PMCPMC13478574

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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.