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Acquired resistance to innate immune clearance promotes Klebsiella pneumoniae ST258 pulmonary infection
Danielle Ahn, Hernán Peñaloza, Zheng Wang, Matthew Wickersham, Dane Parker, Purvi Patel, Antonius Koller, Emily I. Chen, Susan M. Bueno, Anne-Catrin Uhlemann, Alice Prince
Danielle Ahn, Hernán Peñaloza, Zheng Wang, Matthew Wickersham, Dane Parker, Purvi Patel, Antonius Koller, Emily I. Chen, Susan M. Bueno, Anne-Catrin Uhlemann, Alice Prince
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Research Article Infectious disease Pulmonology

Acquired resistance to innate immune clearance promotes Klebsiella pneumoniae ST258 pulmonary infection

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Abstract

Adaptive changes in the genome of a locally predominant clinical isolate of the multidrug-resistant Klebsiella pneumoniae ST258 (KP35) were identified and help to explain the selection of this strain as a successful pulmonary pathogen. The acquisition of 4 new ortholog groups, including an arginine transporter, enabled KP35 to outcompete related ST258 strains lacking these genes. KP35 infection elicited a monocytic response, dominated by Ly6Chi monocytic myeloid-derived suppressor cells that lacked phagocytic capabilities, expressed IL-10, arginase, and antiinflammatory surface markers. In comparison with other K. pneumoniae strains, KP35 induced global changes in the phagocytic response identified with proteomics, including evasion of Ca2+ and calpain activation necessary for phagocytic killing, confirmed in functional studies with neutrophils. This comprehensive analysis of an ST258 K. pneumoniae isolate reveals ongoing genetic adaptation to host microenvironments and innate immune clearance mechanisms that complements its repertoire of antimicrobial resistance genes and facilitates persistence in the lung.

Authors

Danielle Ahn, Hernán Peñaloza, Zheng Wang, Matthew Wickersham, Dane Parker, Purvi Patel, Antonius Koller, Emily I. Chen, Susan M. Bueno, Anne-Catrin Uhlemann, Alice Prince

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Figure 3

Recruitment of monocytes in response to KP35.

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Recruitment of monocytes in response to KP35.
(A–C) Cellular response to...
(A–C) Cellular response to infection in bronchoalveolar lavage fluid (BALF) determined by flow cytometry — alveolar macrophages (Alv Macs) (CD45+SiglecF+CDll11blo-mid), granulocytic myeloid-derived suppressor cells/neutrophils (G-MDSCs/NEUTs) (CD45+CD11b+MHCIIloLy6ChiLy6Ghi), and monocytic myeloid-derived suppressor cells (M-MDSCs) (CD45+CD11b+MHCIIloLy6ChiLy6Glo). Horizontal lines represent median values and each data point represents an individual mouse. All data were compiled from 2 independent experiments, n = 6. *P < 0.05, compared with uninfected (un) control, Kruskal-Wallis test, 1-way ANOVA, Dunn’s correction for multiple comparisons. (D) Changes in surface markers associated with M-MDSCs and G-MDSCs/NEUTs determined by geometric mean fluorescence intensity (MFI), n = 6. For box-and-whiskers plots, horizontal lines indicate the median, boxes indicate 25th to 75th percentiles, and whiskers indicate minimum and maximum values of the data set. (E) Levels of TNF measured by ELISA from supernatants from immortalized bone marrow–derived macrophages (BMDMs) (WT, Tlr4–/–, or Trif–/–) incubated with KP35 or E. coli LPS (10 μg/ml) as a positive control for 4 hours. Representative graph of 2 independent experiments, n = 3 per condition. (F) Cytokine and chemokine production by Ly6C+ cells isolated from WT mice following exposure to KP35 (1 × 108 to 2 × 108 CFU) or E. coli LPS (50 μg), measured by qRT-PCR compared with PBS control. n = 7–9. For B–D, columns represent mean values ± SEM, horizontal bars represent P < 0.05 by 1- or 2-way ANOVA followed by Bonferroni’s or Dunn’s correction for multiple comparisons.

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