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Published in: Gut Pathogens 1/2022

Open Access 01-12-2022 | Antibiotic | Research

Reduction of gastrointestinal tract colonization by Klebsiella quasipneumoniae using antimicrobial protein KvarIa

Authors: Indre Karaliute, Rima Ramonaite, Jurga Bernatoniene, Vilma Petrikaite, Audrius Misiunas, Erna Denkovskiene, Ausra Razanskiene, Yuri Gleba, Juozas Kupcinskas, Jurgita Skieceviciene

Published in: Gut Pathogens | Issue 1/2022

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Abstract

Background

Klebsiella quasipneumoniae is an opportunistic pathogen causing antibiotic-resistant infections of the gastrointestinal tract in many clinical cases. Orally delivered bioactive Klebsiella-specific antimicrobial proteins, klebicins, could be a promising method to eradicate Klebsiella species infecting the gut.

Methods

Mouse infection model was established based on infection of antibiotic-treated BALB/C mice with K. quasipneumoniae strain DSM28212. Four study groups were used (3 animals/group) to test the antimicrobial efficacy of orally delivered klebicin KvarIa: vehicle-only group (control, phosphate-buffered saline), and other three groups with bacteria, antibiotic therapy and 100 µg of uncoated Kvarla, 100 µg coated KvarIa, 1000 µg coated-KvarIa. Because of the general sensitivity of bacteriocins to gastroduodenal proteases, Kvarla doses were coated with Eudragit®, a GMP-certified formulation agent that releases the protein at certain pH. The coating treatment was selected based on measurements of mouse GI tract pH. The quantity of Klebsiella haemolysin gene (khe) in faecal samples of the study animals was used to quantify the presence of Klebsiella.

Results

GI colonization of K. quasipneumoniae was achieved only in the antibiotic-treated mice groups. Significant changes in khe marker quantification were found after the use of Eudragit® S100 formulated klebicin KvarIa, at both doses, with a significant reduction of K. quasipneumoniae colonization compared to the vehicle-only control group.

Conclusions

Mouse GI tract colonization with K. quasipneumoniae can be achieved if natural gut microbiota is suppressed by prior antibiotic treatment. The study demonstrates that GI infection caused by K. quasipneumoniae can be significantly reduced using Eudragit®-protected klebicin KvarIa.
Literature
2.
go back to reference Monegro AF, Muppidi V, Regunath H. Hospital acquired infections. Treasure Island: StatPearls Publishing; 2021. Monegro AF, Muppidi V, Regunath H. Hospital acquired infections. Treasure Island: StatPearls Publishing; 2021.
3.
go back to reference Imai K, Ishibashi N, Kodana M, Tarumoto N, Sakai J, Kawamura T, Takeuchi S, Taji Y, Ebihara Y, Ikebuchi K, Murakami T, Maeda T, Mitsutake K, Maesaki S. Clinical characteristics in blood stream infections caused by Klebsiella pneumoniae, Klebsiella variicola, and Klebsiella quasipneumoniae: a comparative study, Japan, 2014–2017. BMC Infect Dis. 2019. https://doi.org/10.1186/s12879-019-4498-x.CrossRefPubMedPubMedCentral Imai K, Ishibashi N, Kodana M, Tarumoto N, Sakai J, Kawamura T, Takeuchi S, Taji Y, Ebihara Y, Ikebuchi K, Murakami T, Maeda T, Mitsutake K, Maesaki S. Clinical characteristics in blood stream infections caused by Klebsiella pneumoniae, Klebsiella variicola, and Klebsiella quasipneumoniae: a comparative study, Japan, 2014–2017. BMC Infect Dis. 2019. https://​doi.​org/​10.​1186/​s12879-019-4498-x.CrossRefPubMedPubMedCentral
9.
go back to reference Ghequire MGK, De Mot R. Turning over a new leaf: bacteriocins going green. Trends Microbiol. 2018;26(1):1–2.CrossRef Ghequire MGK, De Mot R. Turning over a new leaf: bacteriocins going green. Trends Microbiol. 2018;26(1):1–2.CrossRef
10.
go back to reference Zou J, Jiang H, Cheng H, Fang J, Huang G. Strategies for screening, purification and characterization of bacteriocins. Int J Biol Macromol. 2018;117:781–9.CrossRef Zou J, Jiang H, Cheng H, Fang J, Huang G. Strategies for screening, purification and characterization of bacteriocins. Int J Biol Macromol. 2018;117:781–9.CrossRef
11.
go back to reference Cascales E, Buchanan SK, Duché D, Kleanthous C, Lloubès R, Postle K, Riley M, Slatin S, Cavard D. Colicin biology. Microbiol Mol Biol Rev. 2007;71(1):158–229.CrossRef Cascales E, Buchanan SK, Duché D, Kleanthous C, Lloubès R, Postle K, Riley M, Slatin S, Cavard D. Colicin biology. Microbiol Mol Biol Rev. 2007;71(1):158–229.CrossRef
13.
go back to reference Behrens HM, Six A, Walker D, Kleanthous C. The therapeutic potential of bacteriocins as protein antibiotics. Emerg Top Life Sci. 2017;1(1):65–74.CrossRef Behrens HM, Six A, Walker D, Kleanthous C. The therapeutic potential of bacteriocins as protein antibiotics. Emerg Top Life Sci. 2017;1(1):65–74.CrossRef
15.
go back to reference Whitaker DM, Reichley SR, Griffin MJ, Prager K, Richey CA, Kenelty KV, Stevens BN, Lloyd-Smith JO, Johnson CK, Duignan P, Johnson S, Rios C, DeLong R, Halaska B, Rust L, Byrne BA, Struve C, Barnum S, Soto E. Hypermucoviscous Klebsiella Pneumoniae isolates from stranded and wild-caught marine mammals of the us pacific coast: prevalence, phenotype, and genotype. J Wildl Dis. 2018;54(4):659–70.CrossRef Whitaker DM, Reichley SR, Griffin MJ, Prager K, Richey CA, Kenelty KV, Stevens BN, Lloyd-Smith JO, Johnson CK, Duignan P, Johnson S, Rios C, DeLong R, Halaska B, Rust L, Byrne BA, Struve C, Barnum S, Soto E. Hypermucoviscous Klebsiella Pneumoniae isolates from stranded and wild-caught marine mammals of the us pacific coast: prevalence, phenotype, and genotype. J Wildl Dis. 2018;54(4):659–70.CrossRef
16.
go back to reference Hartman LJ, Selby EB, Whitehouse CA, Coyne SR, Jaissle JG, Twenhafel NA, Burke RL, Kulesh DA. Rapid real-time PCR assays for detection of Klebsiella pneumoniae with the rmpA or magA genes associated with the hypermucoviscosity phenotype: screening of nonhuman primates. J Mol Diagn. 2009;11(5):464–71.CrossRef Hartman LJ, Selby EB, Whitehouse CA, Coyne SR, Jaissle JG, Twenhafel NA, Burke RL, Kulesh DA. Rapid real-time PCR assays for detection of Klebsiella pneumoniae with the rmpA or magA genes associated with the hypermucoviscosity phenotype: screening of nonhuman primates. J Mol Diagn. 2009;11(5):464–71.CrossRef
21.
go back to reference Lerminiaux NA, Cameron ADS. Horizontal transfer of antibiotic resistance genes in clinical environments. Can J Microbiol. 2019;65(1):34–44.CrossRef Lerminiaux NA, Cameron ADS. Horizontal transfer of antibiotic resistance genes in clinical environments. Can J Microbiol. 2019;65(1):34–44.CrossRef
24.
go back to reference Fang CT, Chuang YP, Shun CT, Chang SC, Wang JT. A novel virulence gene in Klebsiella pneumoniae strains causing primary liver abscess and septic metastatic complications. J Exp Med. 2004;199(5):697–705.CrossRef Fang CT, Chuang YP, Shun CT, Chang SC, Wang JT. A novel virulence gene in Klebsiella pneumoniae strains causing primary liver abscess and septic metastatic complications. J Exp Med. 2004;199(5):697–705.CrossRef
25.
go back to reference Hsieh PF, Lu YR, Lin TL, Lai LY, Wang JT. Klebsiella pneumoniae type vi secretion system contributes to bacterial competition, cell invasion, type-1 fimbriae expression, and in vivo colonization. J Infect Dis. 2019;219(4):637–47.CrossRef Hsieh PF, Lu YR, Lin TL, Lai LY, Wang JT. Klebsiella pneumoniae type vi secretion system contributes to bacterial competition, cell invasion, type-1 fimbriae expression, and in vivo colonization. J Infect Dis. 2019;219(4):637–47.CrossRef
29.
go back to reference Sequeira RP, McDonald JAK, Marchesi JR, Clarke TB. Commensal Bacteroidetes protect against Klebsiella pneumoniae colonization and transmission through IL-36 signalling. Nat Microbiol. 2020;5(2):304–13.CrossRef Sequeira RP, McDonald JAK, Marchesi JR, Clarke TB. Commensal Bacteroidetes protect against Klebsiella pneumoniae colonization and transmission through IL-36 signalling. Nat Microbiol. 2020;5(2):304–13.CrossRef
30.
go back to reference Ahmad V, Khan MS, Jamal QMS, Alzohairy MA, Al Karaawi MA, Siddiqui MU. Antimicrobial potential of bacteriocins: in therapy, agriculture and food preservation. Int J Antimicrob Agents. 2017;49(1):1–11.CrossRef Ahmad V, Khan MS, Jamal QMS, Alzohairy MA, Al Karaawi MA, Siddiqui MU. Antimicrobial potential of bacteriocins: in therapy, agriculture and food preservation. Int J Antimicrob Agents. 2017;49(1):1–11.CrossRef
35.
go back to reference McConnell EL, Basit AW, Murdan S. Measurements of rat and mouse gastrointestinal pH, fluid and lymphoid tissue, and implications for in-vivo experiments. J Pharm Pharmacol. 2008;60(1):63–70.CrossRef McConnell EL, Basit AW, Murdan S. Measurements of rat and mouse gastrointestinal pH, fluid and lymphoid tissue, and implications for in-vivo experiments. J Pharm Pharmacol. 2008;60(1):63–70.CrossRef
36.
go back to reference Hatton GB, Yadav V, Basit AW, Merchant HA. Animal farm: considerations in animal gastrointestinal physiology and relevance to drug delivery in humans. J Pharm Sci. 2015;104(9):2747–76.CrossRef Hatton GB, Yadav V, Basit AW, Merchant HA. Animal farm: considerations in animal gastrointestinal physiology and relevance to drug delivery in humans. J Pharm Sci. 2015;104(9):2747–76.CrossRef
37.
go back to reference Kohl KD, Stengel A, Samuni-Blank M, Dearing MD. Effects of anatomy and diet on gastrointestinal pH in rodents. J Exp Zool A Ecol Genet Physiol. 2013;319(4):225–9.CrossRef Kohl KD, Stengel A, Samuni-Blank M, Dearing MD. Effects of anatomy and diet on gastrointestinal pH in rodents. J Exp Zool A Ecol Genet Physiol. 2013;319(4):225–9.CrossRef
Metadata
Title
Reduction of gastrointestinal tract colonization by Klebsiella quasipneumoniae using antimicrobial protein KvarIa
Authors
Indre Karaliute
Rima Ramonaite
Jurga Bernatoniene
Vilma Petrikaite
Audrius Misiunas
Erna Denkovskiene
Ausra Razanskiene
Yuri Gleba
Juozas Kupcinskas
Jurgita Skieceviciene
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Gut Pathogens / Issue 1/2022
Electronic ISSN: 1757-4749
DOI
https://doi.org/10.1186/s13099-022-00492-2

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