Klebsiella pneumoniae outer membrane porins OmpK35 and OmpK36 play roles in both antimicrobial resistance and virulence

Antimicrob Agents Chemother. 2011 Apr;55(4):1485-93. doi: 10.1128/AAC.01275-10. Epub 2011 Jan 31.

Abstract

OmpK35 and OmpK36 are the major outer membrane porins of Klebsiella pneumoniae. In this study, a virulent clinical isolate was selected to study the role of these two porins in antimicrobial resistance and virulence. The single deletion of ompK36 (ΔompK36) resulted in MIC shifts of cefazolin, cephalothin, and cefoxitin from susceptible to resistant, while the single deletion of ompK35 (ΔompK35) had no significant effect. A double deletion of ompK35 and ompK36 (ΔompK35/36) further increased these MICs to high-level resistance and led to 8- and 16-fold increases in the MICs of meropenem and cefepime, respectively. In contrast to the routine testing medium, which is of high osmolarity, susceptibility tests using low-osmolarity medium showed that the ΔompK35 mutation resulted in a significant (≥ 4-fold) increase in the MICs of cefazolin and ceftazidime, whereas a ΔompK36 deletion conferred a significantly (4-fold) lower increase in the MIC of cefazolin. In the virulence assays, a significant (P < 0.05) defect in the growth rate was found only in the ΔompK35/36 mutant, indicating the effect on metabolic fitness. A significant (P < 0.05) increase in susceptibility to neutrophil phagocytosis was observed in both ΔompK36 and ΔompK35/36 mutants. In a mouse peritonitis model, the ΔompK35 mutant showed no change in virulence, and the ΔompK36 mutant exhibited significantly (P < 0.01) lower virulence, whereas the ΔompK35/36 mutant presented the highest 50% lethal dose of these strains. In conclusion, porin deficiency in K. pneumoniae could increase antimicrobial resistance but decrease virulence at the same time.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bacterial Proteins / genetics
  • Bacterial Proteins / metabolism*
  • Cefepime
  • Cefoxitin / pharmacology
  • Cefoxitin / therapeutic use
  • Ceftazidime / pharmacology
  • Ceftazidime / therapeutic use
  • Cephalosporins / pharmacology
  • Cephalosporins / therapeutic use
  • Drug Resistance, Multiple, Bacterial / genetics
  • Genetic Complementation Test
  • Klebsiella Infections / drug therapy
  • Klebsiella Infections / genetics
  • Klebsiella pneumoniae / drug effects*
  • Klebsiella pneumoniae / genetics
  • Klebsiella pneumoniae / metabolism*
  • Klebsiella pneumoniae / pathogenicity
  • Male
  • Meropenem
  • Mice
  • Mice, Inbred BALB C
  • Microbial Sensitivity Tests
  • Molecular Sequence Data
  • Phagocytosis / drug effects
  • Phagocytosis / genetics
  • Porins / genetics
  • Porins / metabolism*
  • Sequence Analysis, DNA
  • Thienamycins / pharmacology
  • Thienamycins / therapeutic use
  • Virulence / genetics
  • Virulence / physiology

Substances

  • Bacterial Proteins
  • Cephalosporins
  • OmpK35 porin, Klebsiella pneumoniae
  • OmpK36 protein, Klebsiella pneumoniae
  • Porins
  • Thienamycins
  • Cefoxitin
  • Cefepime
  • Ceftazidime
  • Meropenem

Associated data

  • GENBANK/GU461278
  • GENBANK/GU461279