Functional insights from KpfR, a new transcriptional regulator of fimbrial expression that is crucial for Klebsiella pneumoniae pathogenicity

Abstract

Although originally known as an opportunistic pathogen, Klebsiella pneumoniae has been considered a worldwide health threat nowadays due to the emergence of hypervirulent and antibiotic-resistant strains capable of causing severe infections not only on immunocompromised patients but also on healthy individuals. Fimbriae is an essential virulence factor for K. pneumoniae, especially in urinary tract infections, because it allows the pathogen to adhere and invade urothelial cells and to form biofilms on biotic and abiotic surfaces. The importance of fimbriae for K. pneumoniae pathogenicity is highlighted by the large number of fimbrial gene clusters on the bacterium genome, which requires a coordinated and finely adjusted system to control the synthesis of these structures. In this work, we describe KpfR as a new transcriptional repressor of fimbrial expression in K. pneumoniae and discuss its role in the bacterium pathogenicity. K. pneumoniae lacking the kpfR gene exhibited a hyperfimbriated phenotype with enhanced biofilm formation and greater adhesion to and replication within epithelial host cells. However, the mutant strain was attenuated for colonization of the bladder in a murine model of urinary tract infection. These results indicate that KpfR is an important transcriptional repressor that, by negatively controlling the expression of fimbriae, prevents K. pneumoniae from having a hyperfimbriated phenotype and from being recognized and eliminated by the host immune system.IMPORTANCEFimbriae are crucial virulence factor for many pathogens because they allow the pathogen to adhere and invade host cells and to form biofilm on biotic and abiotic surfaces. However, the synthesis of fimbriae requires a precise and coordinated control to guarantees the production of these structures only when necessary, thus avoiding unnecessary energy expenditure and bacterial clearance by the host immune cells. Herein, we describe for the first time the role of the transcriptional repressor of fimbrial expression KpfR on the pathogenicity of K. pneumoniae, a Gram-negative pathogen that has gained worldwide attention, notably for being the causative agent of severe and metastatic infections even on healthy individuals. By deleting the kpfR gene, we show that the mutant strain loses the control of fimbriae production, resulting in a hyperfimbriated phenotype that impairs K. pneumoniae ability to colonize a murine model of urinary tract infection.

An Updated Outline of Klebsiella pneumoniae Resistance: Mechanisms and Treatments

“…The function of type 1 fimbriae is mainly adhesion especially in UTI, while type 3 fimbriae are necessary for biofilm formation. Type 1 fimbriae contain an adhesin molecule (FimH) that binds to bladder cells surface (8) , as a result, the uropathogen replicates intracellularly effortlessly.…”

Successfully treating biofilms of extensively drug resistant Klebsiella pneumoniae isolates from hospital patients with N-Acetyl Cysteine

“…(Russo & Marr, 2019). Diverse virulence factors such as siderophores, capsular polysaccharides, lipopolysaccharides, and fimbrial adhesins contribute to the pathogenicity of K. pneumoniae (Remya et al, 2019; Gomes et al, 2021). Moreover, the propensity of K. pneumoniae to acquire multidrug resistance has made them more notorious to deal with in the hospital environment.…”