Evidence map›Paper›PMID 42486965›Full record

ArticleScientific reports2026

A dual-tier plasmid network model underpins the evolutionary success of pandemic Klebsiella pneumoniae ST11.

Alsayed Alfiky, José Manuel Ortiz de la Rosa, Mustafa Sadek

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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Alsayed AlfikyGenetics Department, Faculty of Agriculture, Tanta University, Tanta, 31511, Egypt. alfiky@agr.tanta.edu.eg.ORCID 0000-0001-8561-2492
José Manuel Ortiz de la RosaInstitute of Biomedicine of Seville (IBiS), University Hospital Virgen del Rocío/CSIC/University of Seville, Seville, Spain.
Mustafa SadekDepartment of Food Hygiene and Control, Faculty of Veterinary Medicine, Qena University, Qena, 83523, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The convergence of antimicrobial resistance and hypervirulence in high-risk Klebsiella pneumoniae clones represents a major public health threat. However, evolutionary mechanisms enabling specific lineages to achieve pandemic dominance remain unclear. In this study, we integrated pangenomics and network analysis across 1,010 complete genomes from 38 countries. Species-wide dynamics revealed an extremely open pangenome (α = 0.59). In contrast, the dominant ST11 lineage, representing 30% of isolates, exhibited extremely low within-lineage phylogenetic diversity, consistent with a recent clonal expansion concentrated in East Asia. The East Asian ST11 lineage exhibited the lowest pangenome diversity (α = 0.86) associated with fixation of persistence and plasmid-stabilization systems and purging of redundant defense mechanisms. This configuration sustains a dual-tier plasmid network comprising a lineage-anchored IncFII(pHN7A8) replicon for vertical stability alongside high-connectivity hubs such as IncFIB(K) facilitating horizontal gene transfer. Chromosomal integration and tandem amplification of key resistance determinants (blaK

Indexed as

Evolution, MolecularKlebsiella InfectionsKlebsiella pneumoniaePlasmidsGene Transfer, HorizontalGenome, BacterialHumansPandemicsPhylogenyVirulenceAntimicrobial resistanceCarbapenem-resistant hypervirulent Klebsiella pneumoniae (CR-HvKP)ConvergentGenome evolutionGlobal surveillanceNetwork analysisPangenomePlasmid epidemiology

Identifiers

PMID42486965
PMCPMC13392022

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.