Characterization of genome-wide transpositions induced by colistin exposure in multi-drug-resistant Klebsiella pneumoniae

Publication date

2025-07-02

Authors

Rajakani, Sahaya Glingston
Xavier, Basil Britto
Nguyen, Ngoc Minh
Lin, Qiang
Braspenning, Anouk
Plantinga, Nienke L
Wittekamp, Bastiaan H J
Zarkotou, Olympia
Van Houdt, Rob
Glupczynski, Youri

Editors

Advisors

Supervisors

Document Type

Article

Collections

Open Access logo

License

cc_by

Abstract

Colistin is one of the last-line antibiotics against multi-drug-resistant (MDR) gram-negative pathogens, such as Klebsiella pneumoniae. Using long-read sequencing, we observed remarkable genome-wide transposition events in MDR K. pneumoniae exposed to colistin in patients receiving treatment for respiratory infections or as part of selective decolonization strategies and further confirmed these on in vitro selection experiments. These data add yet another dimension to the role of antibiotics in mediating specific processes in bacteria beyond antibiotic resistance.

Keywords

antibiotic resistance, colistin, insertion sequence elements, muti-drug resistant Klebsiella penumoniae, Journal Article

Citation

Rajakani, S G, Xavier, B B, Nguyen, N M, Lin, Q, Braspenning, A, Plantinga, N L, Wittekamp, B H J, Zarkotou, O, Van Houdt, R, Glupczynski, Y, Pournaras, S, Bonten, M J M & Malhotra-Kumar, S 2025, 'Characterization of genome-wide transpositions induced by colistin exposure in multi-drug-resistant Klebsiella pneumoniae', Antimicrobial Agents and Chemotherapy, vol. 69, no. 7, e0157424. https://doi.org/10.1128/aac.01574-24