Evidence map›Paper›PMID 42642423›Full record

ArticleNature communications2026

Sugar import suppresses Klebsiella pneumoniae Mucoidy in a cAMP-CRP-dependent manner.

Saroj Khadka, Gabriella M Gates, Drew J Stark, Katlyn Todd, Bennett A Allison, Jay Vornhagen, Laura A Mike

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Hypermucoviscosity inJournal of bacteriology · 2026
    Review
  2. Infection and immunity · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Saroj KhadkaDepartment of Medicine/Division of Infectious Diseases, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-7533-7933
Gabriella M GatesDepartment of Medicine/Division of Infectious Diseases, University of Pittsburgh, Pittsburgh, PA, USA.
Drew J StarkDepartment of Medicine/Division of Infectious Diseases, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-3185-2885
Katlyn ToddDepartment of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, IN, USA.
Bennett A AllisonDepartment of Cell and Cancer Biology, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.ORCID http://orcid.org/0009-0006-1075-7359
Jay VornhagenDepartment of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0002-1685-302X
Laura A MikeDepartment of Medicine/Division of Infectious Diseases, University of Pittsburgh, Pittsburgh, PA, USA. laura.mike@pitt.edu.ORCID http://orcid.org/0000-0002-3368-4184

Funding

Control of Klebsiella capsule biosynthesis and attachmentR35GM150588 · NIGMS · UNIVERSITY OF TOLEDO HEALTH SCI CAMPUS · PI Laura Anzaldi Mike · 2023 to 2026
$1.6M
Functional Genetic Analysis of Klebsiella pneumoniae HypervirulenceK22AI145849 · NIAID · UNIVERSITY OF TOLEDO HEALTH SCI CAMPUS · PI MIKE, LAURA ANZALDI · 2021 to 2022
$269k
American Heart Association (American Heart Association, Inc.) 23CDA1056712 (L.A.M.)American Heart Association (American Heart Association, Inc.) 24PRE1197026 (S.K.)NIAID NIH HHS K22 AI145849NIGMS NIH HHS R35 GM150588U.S. Department of Health & Human Services | National Institutes of Health (NIH) K22AI145849 (L.A.M.)U.S. Department of Health & Human Services | National Institutes of Health (NIH) R35GM150588 (L.A.M.)
6 · The paper itself

Abstract

Hypervirulent Klebsiella pneumoniae (hvKp) causes severe invasive infections in community and hospital settings, often originating from gut colonization. Capsular polysaccharide (CPS) and its associated features are a key hvKp virulence factor. Altering CPS properties, such as mucoidy, in response to environmental cues enhances K. pneumoniae fitness. While several physical and nutrient cues influence mucoidy, the molecular mechanisms by which host-relevant signals, such as sugars, regulate mucoidy remain undefined. Here, we show that sugar import, not catabolism, broadly suppresses hvKp mucoidy through cAMP-CRP signaling and downregulation of the mucoidy regulator, rmpD. This sugar-dependent regulation is conserved across multiple hvKp strains. Although non-mucoid hvKp associate with gut mucin and epithelial cells at a greater frequency, both hypermucoid and non-mucoid states show reduced fitness for gut colonization. Our findings support that sugars are a key mucoidy regulatory cue and that the dynamic regulation of mucoidy contributes to efficient gut colonization by hvKp.

Indexed as

Cyclic AMPCyclic AMP Receptor ProteinKlebsiella pneumoniaeAnimalsBacterial CapsulesBacterial ProteinsGene Expression Regulation, BacterialHumansKlebsiella InfectionsSignal TransductionVirulenceVirulence FactorsBacterial ProteinsCyclic AMPCyclic AMP Receptor ProteinVirulence Factors

Identifiers

PMID42642423
PMCPMC13507191

What OpenQuestion holds

Textmetadata
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.