Klebsiella pneumoniae blaKPC-3 nosocomial epidemic: Bayesian and evolutionary analysis

Infect Genet Evol. 2016 Dec:46:85-93. doi: 10.1016/j.meegid.2016.10.031. Epub 2016 Nov 1.

Abstract

K. pneumoniae isolates carrying blaKPC-3 gene were collected to perform Bayesian phylogenetic and selective pressure analysis and to apply homology modeling to the KPC-3 protein. A dataset of 44 blakpc-3 gene sequences from clinical isolates of K. pneumoniae was used for Bayesian phylogenetic, selective pressure analysis and homology modeling. The mean evolutionary rate for blakpc-3 gene was 2.67×10-3 substitution/site/year (95% HPD: 3.4×10-4-5.59×10-3). The root of the Bayesian tree dated back to the year 2011 (95% HPD: 2007-2012). Two main clades (I and II) were identified. The population dynamics analysis showed an exponential growth from 2011 to 2013 and the reaching of a plateau. The phylogeographic reconstruction showed that the root of the tree had a probable common ancestor in the general surgery ward. Selective pressure analysis revealed twelve positively selected sites. Structural analysis of KPC-3 protein predicted that the amino acid mutations are destabilizing for the protein and could alter the substrate specificity. Phylogenetic analysis and homology modeling of blaKPC-3 gene could represent a useful tool to follow KPC spread in nosocomial setting and to evidence amino acid substitutions altering the substrate specificity.

Keywords: Bayesian analysis; Evolutionary analysis; K. pneumoniae; blaKPC-3 gene.

MeSH terms

  • Bacterial Proteins / classification
  • Bacterial Proteins / genetics*
  • Bayes Theorem
  • Cross Infection / epidemiology
  • Cross Infection / microbiology*
  • DNA, Bacterial / analysis
  • DNA, Bacterial / genetics
  • Epidemics / statistics & numerical data*
  • Evolution, Molecular
  • Humans
  • Italy / epidemiology
  • Klebsiella Infections / epidemiology
  • Klebsiella Infections / microbiology*
  • Klebsiella pneumoniae / classification
  • Klebsiella pneumoniae / genetics*
  • Molecular Epidemiology
  • Phylogeny
  • beta-Lactamases / classification
  • beta-Lactamases / genetics*

Substances

  • Bacterial Proteins
  • DNA, Bacterial
  • beta-Lactamases
  • beta-lactamase KPC-3, Klebsiella pneumoniae