Emergence of KPC-8-producing K. pneumoniae infection without prior exposure to ceftazidime/avibactam: the threat of de novo infections by ceftazidime/avibactam-resistant KPC variants
[Data availability] This Whole Genome Shotgun project has been deposited at DDBJ/ENA/GenBank under the Bioproject accession number PRJNA1026946.
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Consejo Superior de Investigaciones Científicas (CSIC) |
| Repositorio: | DIGITAL.CSIC. Repositorio Institucional del CSIC |
| OAI Identifier: | oai:digital.csic.es:10261/400127 |
| Acceso en línea: | http://hdl.handle.net/10261/400127 https://api.elsevier.com/content/abstract/scopus_id/105007291867 |
| Access Level: | acceso abierto |
| Palabra clave: | KPC-31 KPC-8 Klebsiella pneumoniae Antimicrobial resistance Cefiderocol Ceftazidime/avibactam Evolution Imipenem/relebactam Meropenem/vaborbactam β-lactamase |
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Emergence of KPC-8-producing K. pneumoniae infection without prior exposure to ceftazidime/avibactam: the threat of de novo infections by ceftazidime/avibactam-resistant KPC variantsMateo-Vargas, María AlejandraRodríguez-PallaresArca-Suárez, JorgeLópez-Cerero, LorenaRodríguez-Iglesias, ManuelGalán-Sánchez, FátimaKPC-31KPC-8Klebsiella pneumoniaeAntimicrobial resistanceCefiderocolCeftazidime/avibactamEvolutionImipenem/relebactamMeropenem/vaborbactamβ-lactamase[Data availability] This Whole Genome Shotgun project has been deposited at DDBJ/ENA/GenBank under the Bioproject accession number PRJNA1026946.De novo infections caused by ceftazidime/avibactam-resistant KPC variants are rarely reported. We characterize the evolution of a KPC-8-producing Klebsiella pneumoniae strain involved in a primary infection without previous ceftazidime/avibactam treatment. During a 15-month follow-up, changes in carbapenem susceptibility due to porin alterations were observed, remaining susceptible to meropenem/vaborbactam, imipenem/relebactam, and cefiderocol. High- and low-permeability recombinant Escherichia coli isolates analysis revealed that, unlike the widespread ceftazidime/avibactam-resistant variant KPC-31, KPC-8 confers ceftazidime/avibactam resistance without decreasing carbapenemase activity.This study was supported by Menarini, with funding directly provided to the institution. This work was also supported by the Instituto de Salud Carlos III through project PI22/01212, by Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC, CB21/13/00055), integrated in the National Plan for Scientific Research, Development and Technological Innovation 2013–2016, by the ISCIII-General Subdirection of Assessment and Promotion of the Research-European Regional Development Fund (FEDER) “A way of making Europe” and by the Axencia Galega de Innovación (GAIN), Consellería de Innovación, Consellería de Emprego e Industria through “Proxecto de excelencia” IN607D2024/008 to J.A.-S. and co-funded by the European Union. S.R.-P. was financially supported by the Río Hortega program (ISCII, CM23/00104). J.A.-S. was financially supported by the Juan Rodés program (ISCIII, JR21/00026). Conceptualization and methodology: F.G-.S., M.R.-I., and J.A.-S. Software and formal analysis: M.A.M.-V., S.R.-P., and L.L.-C. Investigation and validation: M.A.M.-V., J.A.-S., and S.R.-P. Resources: F.G.-S., M.R.-I., L.L.-C., and J.A.-S. Data curation: M.A.M.-V. Writing—original draft: M.A.M.-V., F.G.-S., and S.R.-P. Writing—review and editing: all authors. Visualization: M.A.M.-V., F.G.-S., J.A.-S., and L.L.-C. Supervision: all authors. Project administration: F.G.-S. and M.R.-I. Funding acquisition: F.G.-S., J.A.-S., and S.R.-P. All authors amended and approved the final version of the manuscript.Peer reviewedAmerican Society for MicrobiologyInstituto de Salud Carlos IIICentro de Investigación Biomédica en Red de Enfermedades Infecciosas (España)European CommissionAxencia Galega de InnovaciónMateo-Vargas, María Alejandra [0000-0003-0854-9703]López-Cerero, Lorena [0000-0001-8950-4384]Galán-Sánchez, Fátima [0000-0003-0101-6701]Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]202520252025info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://hdl.handle.net/10261/400127https://api.elsevier.com/content/abstract/scopus_id/105007291867reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Inglés#PLACEHOLDER_PARENT_METADATA_VALUE#info:eu-repo/grantAgreement/ISCIII/Plan Estatal de Investigación Científica, Técnica y de Innovación 2021-2023/PI22%2F01212The underlying dataset has been published as supplementary material of the article in the publisher platform at DOI https://doi.org/10.1128/aac.01494-24https://doi.org/10.1128/aac.01494-24Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/4001272026-05-22T06:33:51Z |
| dc.title.none.fl_str_mv |
Emergence of KPC-8-producing K. pneumoniae infection without prior exposure to ceftazidime/avibactam: the threat of de novo infections by ceftazidime/avibactam-resistant KPC variants |
| title |
Emergence of KPC-8-producing K. pneumoniae infection without prior exposure to ceftazidime/avibactam: the threat of de novo infections by ceftazidime/avibactam-resistant KPC variants |
| spellingShingle |
Emergence of KPC-8-producing K. pneumoniae infection without prior exposure to ceftazidime/avibactam: the threat of de novo infections by ceftazidime/avibactam-resistant KPC variants Mateo-Vargas, María Alejandra KPC-31 KPC-8 Klebsiella pneumoniae Antimicrobial resistance Cefiderocol Ceftazidime/avibactam Evolution Imipenem/relebactam Meropenem/vaborbactam β-lactamase |
| title_short |
Emergence of KPC-8-producing K. pneumoniae infection without prior exposure to ceftazidime/avibactam: the threat of de novo infections by ceftazidime/avibactam-resistant KPC variants |
| title_full |
Emergence of KPC-8-producing K. pneumoniae infection without prior exposure to ceftazidime/avibactam: the threat of de novo infections by ceftazidime/avibactam-resistant KPC variants |
| title_fullStr |
Emergence of KPC-8-producing K. pneumoniae infection without prior exposure to ceftazidime/avibactam: the threat of de novo infections by ceftazidime/avibactam-resistant KPC variants |
| title_full_unstemmed |
Emergence of KPC-8-producing K. pneumoniae infection without prior exposure to ceftazidime/avibactam: the threat of de novo infections by ceftazidime/avibactam-resistant KPC variants |
| title_sort |
Emergence of KPC-8-producing K. pneumoniae infection without prior exposure to ceftazidime/avibactam: the threat of de novo infections by ceftazidime/avibactam-resistant KPC variants |
| dc.creator.none.fl_str_mv |
Mateo-Vargas, María Alejandra Rodríguez-Pallares Arca-Suárez, Jorge López-Cerero, Lorena Rodríguez-Iglesias, Manuel Galán-Sánchez, Fátima |
| author |
Mateo-Vargas, María Alejandra |
| author_facet |
Mateo-Vargas, María Alejandra Rodríguez-Pallares Arca-Suárez, Jorge López-Cerero, Lorena Rodríguez-Iglesias, Manuel Galán-Sánchez, Fátima |
| author_role |
author |
| author2 |
Rodríguez-Pallares Arca-Suárez, Jorge López-Cerero, Lorena Rodríguez-Iglesias, Manuel Galán-Sánchez, Fátima |
| author2_role |
author author author author author |
| dc.contributor.none.fl_str_mv |
Instituto de Salud Carlos III Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (España) European Commission Axencia Galega de Innovación Mateo-Vargas, María Alejandra [0000-0003-0854-9703] López-Cerero, Lorena [0000-0001-8950-4384] Galán-Sánchez, Fátima [0000-0003-0101-6701] Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72] |
| dc.subject.none.fl_str_mv |
KPC-31 KPC-8 Klebsiella pneumoniae Antimicrobial resistance Cefiderocol Ceftazidime/avibactam Evolution Imipenem/relebactam Meropenem/vaborbactam β-lactamase |
| topic |
KPC-31 KPC-8 Klebsiella pneumoniae Antimicrobial resistance Cefiderocol Ceftazidime/avibactam Evolution Imipenem/relebactam Meropenem/vaborbactam β-lactamase |
| description |
[Data availability] This Whole Genome Shotgun project has been deposited at DDBJ/ENA/GenBank under the Bioproject accession number PRJNA1026946. |
| publishDate |
2025 |
| dc.date.none.fl_str_mv |
2025 2025 2025 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 Publisher's version info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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http://hdl.handle.net/10261/400127 https://api.elsevier.com/content/abstract/scopus_id/105007291867 |
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http://hdl.handle.net/10261/400127 https://api.elsevier.com/content/abstract/scopus_id/105007291867 |
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Inglés |
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Inglés |
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#PLACEHOLDER_PARENT_METADATA_VALUE# info:eu-repo/grantAgreement/ISCIII/Plan Estatal de Investigación Científica, Técnica y de Innovación 2021-2023/PI22%2F01212 The underlying dataset has been published as supplementary material of the article in the publisher platform at DOI https://doi.org/10.1128/aac.01494-24 https://doi.org/10.1128/aac.01494-24 Sí |
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openAccess |
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American Society for Microbiology |
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American Society for Microbiology |
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