Genome Characteristic of NDM-5-Producing Klebsiella Quasipneumoniae and Klebsiella Pneumoniae in China

Lifeng Chen,1,* Ruishan Liu,2,3,* Haowei Ye,2 Jiajie Qian,4 Danfeng Lou5 1Department of Clinical Engineering and Materials Supplies, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People’s Republic of China; 2State Key Laboratory for Diagnosis and T...

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Main Authors: Chen L, Liu R, Ye H, Qian J, Lou D
Format: Article
Language:English
Published: Dove Medical Press 2025-02-01
Series:Infection and Drug Resistance
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Online Access:https://www.dovepress.com/genome-characteristic-of-ndm-5-producing-klebsiella-quasipneumoniae-an-peer-reviewed-fulltext-article-IDR
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author Chen L
Liu R
Ye H
Qian J
Lou D
author_facet Chen L
Liu R
Ye H
Qian J
Lou D
author_sort Chen L
collection DOAJ
description Lifeng Chen,1,* Ruishan Liu,2,3,* Haowei Ye,2 Jiajie Qian,4 Danfeng Lou5 1Department of Clinical Engineering and Materials Supplies, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People’s Republic of China; 2State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People’s Republic of China; 3Jinan Microecological Biomedicine, Shandong Laboratory, Jinan, People’s Republic of China; 4Department of Gastrointestinal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, People’s Republic of China; 5Department of Infectious Diseases, Shulan (Hangzhou) Hospital, Hangzhou, People’s Republic of China*These authors contributed equally to this workCorrespondence: Danfeng Lou, Department of Infectious Diseases, Shulan (Hangzhou) Hospital, No. 848 Dongxin Road, Hangzhou, People’s Republic of China, Email loudanfeng@126.com Jiajie Qian, Department of Gastrointestinal Surgery, The First Affiliated Hospital, College of Medicine Zhejiang University, No. 79 Qingchun Road, Hangzhou, People’s Republic of China, Email 1202058@zju.edu.cnAbstract: The global dissemination of carbapenem-resistant Enterobacteriaceae poses a significant threat to public health. In this study, we identified two clinical Klebsiella isolates, K. quasipneumoniae ACESH02628 and K. pneumoniae ACESH02857, harboring the blaNDM-5 gene in China. Both strains exhibited multidrug resistance, including reduced susceptibility to carbapenems, and carried transferable NDM-5-bearing plasmids. Specifically, S1-pulsed-field gel electrophoresis (PFGE), southern blotting, and whole-genome sequencing revealed that ACESH02628 contained an IncHI2/IncHI2A-type plasmid, while ACESH02857 carried an IncX3-type plasmid, both associated with the regional spread of NDM-5. Comparative analyses showed high genetic similarity with previously reported NDM-5 plasmids from Salmonella enterica and Escherichia coli in China, underscoring the ease of horizontal transfer and potential for broader dissemination. Our findings highlight the emergence of NDM-5-producing K. quasipneumoniae of clinical origin and reinforce the need for vigilant surveillance and infection control measures to curb the proliferation of these highly resistant pathogens.Keywords: blaNDM-5, Klebsiella spp., carbapenem-resistant, whole-genome sequencing
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spelling doaj-art-9784ecb3acfb4fd7b520f8fce70966d42025-02-09T16:10:20ZengDove Medical PressInfection and Drug Resistance1178-69732025-02-01Volume 1876977499992Genome Characteristic of NDM-5-Producing Klebsiella Quasipneumoniae and Klebsiella Pneumoniae in ChinaChen LLiu RYe HQian JLou DLifeng Chen,1,* Ruishan Liu,2,3,* Haowei Ye,2 Jiajie Qian,4 Danfeng Lou5 1Department of Clinical Engineering and Materials Supplies, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People’s Republic of China; 2State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People’s Republic of China; 3Jinan Microecological Biomedicine, Shandong Laboratory, Jinan, People’s Republic of China; 4Department of Gastrointestinal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, People’s Republic of China; 5Department of Infectious Diseases, Shulan (Hangzhou) Hospital, Hangzhou, People’s Republic of China*These authors contributed equally to this workCorrespondence: Danfeng Lou, Department of Infectious Diseases, Shulan (Hangzhou) Hospital, No. 848 Dongxin Road, Hangzhou, People’s Republic of China, Email loudanfeng@126.com Jiajie Qian, Department of Gastrointestinal Surgery, The First Affiliated Hospital, College of Medicine Zhejiang University, No. 79 Qingchun Road, Hangzhou, People’s Republic of China, Email 1202058@zju.edu.cnAbstract: The global dissemination of carbapenem-resistant Enterobacteriaceae poses a significant threat to public health. In this study, we identified two clinical Klebsiella isolates, K. quasipneumoniae ACESH02628 and K. pneumoniae ACESH02857, harboring the blaNDM-5 gene in China. Both strains exhibited multidrug resistance, including reduced susceptibility to carbapenems, and carried transferable NDM-5-bearing plasmids. Specifically, S1-pulsed-field gel electrophoresis (PFGE), southern blotting, and whole-genome sequencing revealed that ACESH02628 contained an IncHI2/IncHI2A-type plasmid, while ACESH02857 carried an IncX3-type plasmid, both associated with the regional spread of NDM-5. Comparative analyses showed high genetic similarity with previously reported NDM-5 plasmids from Salmonella enterica and Escherichia coli in China, underscoring the ease of horizontal transfer and potential for broader dissemination. Our findings highlight the emergence of NDM-5-producing K. quasipneumoniae of clinical origin and reinforce the need for vigilant surveillance and infection control measures to curb the proliferation of these highly resistant pathogens.Keywords: blaNDM-5, Klebsiella spp., carbapenem-resistant, whole-genome sequencinghttps://www.dovepress.com/genome-characteristic-of-ndm-5-producing-klebsiella-quasipneumoniae-an-peer-reviewed-fulltext-article-IDRblandm-5klebsiella spp.carbapenem-resistantwhole genome sequencing
spellingShingle Chen L
Liu R
Ye H
Qian J
Lou D
Genome Characteristic of NDM-5-Producing Klebsiella Quasipneumoniae and Klebsiella Pneumoniae in China
Infection and Drug Resistance
blandm-5
klebsiella spp.
carbapenem-resistant
whole genome sequencing
title Genome Characteristic of NDM-5-Producing Klebsiella Quasipneumoniae and Klebsiella Pneumoniae in China
title_full Genome Characteristic of NDM-5-Producing Klebsiella Quasipneumoniae and Klebsiella Pneumoniae in China
title_fullStr Genome Characteristic of NDM-5-Producing Klebsiella Quasipneumoniae and Klebsiella Pneumoniae in China
title_full_unstemmed Genome Characteristic of NDM-5-Producing Klebsiella Quasipneumoniae and Klebsiella Pneumoniae in China
title_short Genome Characteristic of NDM-5-Producing Klebsiella Quasipneumoniae and Klebsiella Pneumoniae in China
title_sort genome characteristic of ndm 5 producing klebsiella quasipneumoniae and klebsiella pneumoniae in china
topic blandm-5
klebsiella spp.
carbapenem-resistant
whole genome sequencing
url https://www.dovepress.com/genome-characteristic-of-ndm-5-producing-klebsiella-quasipneumoniae-an-peer-reviewed-fulltext-article-IDR
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