2022
DOI: 10.1128/spectrum.00507-22
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High Osmotic Stress Increases OmpK36 Expression through the Regulation of KbvR to Decrease the Antimicrobial Resistance of Klebsiella pneumoniae

Abstract: Klebsiella pneumoniae is considered a global threat because of the rising prevalence of multidrug-resistant strains and their optimal adaptation to clinical environments and the human host. The sensing and adaption abilities of bacteria to the environmental osmotic stress can change the expression of their outer membrane porins, membrane permeability, and resistance to antibiotics.

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Cited by 4 publications
(3 citation statements)
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“…Since resistance against β-lactams is acquired by the production of β-lactamases, it could be that localization of these enzymes in the membrane of A. baumannii is, to some extent, disturbed by an altered lipid composition of the inner membrane or that diffusion of the antibiotic over a disturbed inner membrane is facilitated, thereby affecting the susceptibility for antibiotics such as imipenem. It is interesting that WE/TAG production is induced during growth in the presence of a high salt concentration, and the interplay between antibiotic resistance and osmotic stress resistance has been discussed for different bacteria. ,, Especially in the food industry, where high salt concentrations are used as preservatives, the antibiotic cross-resistance induced by osmotic stress has been investigated. , Our data emphasize the role of WEs and TAGs as flexible pools/deposits for FAs or FALs over the function for water, carbon, or energy storage. While the loss of WEs and TAGs did not lead to a significant loss of viability under desiccation and starvation conditions, disturbance of WE and TAG production had an effect on antibiotic and ROS sensitivity as well as growth under salt stress.…”
Section: Discussionmentioning
confidence: 74%
See 1 more Smart Citation
“…Since resistance against β-lactams is acquired by the production of β-lactamases, it could be that localization of these enzymes in the membrane of A. baumannii is, to some extent, disturbed by an altered lipid composition of the inner membrane or that diffusion of the antibiotic over a disturbed inner membrane is facilitated, thereby affecting the susceptibility for antibiotics such as imipenem. It is interesting that WE/TAG production is induced during growth in the presence of a high salt concentration, and the interplay between antibiotic resistance and osmotic stress resistance has been discussed for different bacteria. ,, Especially in the food industry, where high salt concentrations are used as preservatives, the antibiotic cross-resistance induced by osmotic stress has been investigated. , Our data emphasize the role of WEs and TAGs as flexible pools/deposits for FAs or FALs over the function for water, carbon, or energy storage. While the loss of WEs and TAGs did not lead to a significant loss of viability under desiccation and starvation conditions, disturbance of WE and TAG production had an effect on antibiotic and ROS sensitivity as well as growth under salt stress.…”
Section: Discussionmentioning
confidence: 74%
“…It is interesting that WE/TAG production is induced during growth in the presence of a high salt concentration, and the interplay between antibiotic resistance and osmotic stress resistance has been discussed for different bacteria. 15,49,50 Especially in the food industry, where high salt concentrations are used as preservatives, the antibiotic crossresistance induced by osmotic stress has been investigated. 51,52 Our data emphasize the role of WEs and TAGs as flexible pools/deposits for FAs or FALs over the function for water, carbon, or energy storage.…”
Section: ■ Discussionmentioning
confidence: 99%
“…One of the reasons for the production of outer membrane proteins is osmotic stress caused by salts, sugars, pH value, and temperature, which activates the gene involved in the expression of those proteins [ 28 , 29 ]. In Klebsiella pneumoniae , for example, high osmotic stress causes the KbvR to be upregulated, which increases the expression of OmpK36 [ 30 ]. Moreover, higher levels of osmotic stress caused by NaCl impact OmpC expression increases Escherichia coli ’s kanamycin resistance [ 31 , 32 ].…”
Section: Introductionmentioning
confidence: 99%