Genomic Convergence of Hypervirulence, Pan-Drug Resistance, and Phage Defense in a High-Risk Klebsiella pneumoniae from Pharmaceutical Wastewater in Bangladesh

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Abstract

K. pneumoniae strains that combine multidrug resistance, hypervirulence and persistence are spreading worldwide, causing a severe threat to public health. Unraveling the genetics that underlies these high-risk clones is critical for the development of countermeasures. We isolated K. pneumoniae JU-BAEC-01 from treated effluent of antibiotic-manufacturing pharmaceutical facilities in Bangladesh. Herein, we report a comprehensive genomic analysis of the K. pneumoniae strain JU-BAEC-01 using whole-genome sequencing, comparative genomics, and various bioinformatics tools, including CARD, ResFinder, VFDB, PADLOC, Defense Finder, and CRISPRCas Finder, to outline its phylogenetic position, antibiotic resistance profile, virulence potential, mobile genetic elements, and antiviral defense systems. JU-BAEC-01 belongs to a phylogenetically distinct lineage, serotype O3b:KL150, unrelated to globally dominant high-risk clones. This isolate shows resistance to nearly all clinically relevant antibiotic classes except carbapenems and colistin, mediated by an extensive acquired resistome, including tmexCD3-toprJ3 (tigecycline), armA, aac(6')-Ib-cr, qnrB4, oqxAB, blaDHA-1, blaSHV-182, and blaTEM-1B, mostly carried on conjugative IncC, IncFIB, IncHI1B, and IncR plasmids. Classical hypervirulence markers are present: complete aerobactin (iucABCD-iutA) and salmochelin (iroBCDEN) clusters, rmpA2, type 1 and type 3 fimbriae, T6SS, and pgaABCD. Six prophage regions and multiple insertion elements further enhance genomic plasticity. Notably, the strain encodes one of the most elaborate anti-phage defense arsenals reported in Klebsiella to date, comprising functional Type I-E, III-A, and IV-A CRISPR-Cas systems, multiple restriction-modification systems, BREX Type I, abortive infection systems (AbiE, AbiU), and additional novel defenses that coexist with phage-derived anti-CRISPR (AcrIE9) and anti-restriction (ArdA) proteins. Klebsiella pneumoniae JU-BAEC-01 is a "perfect storm" pathogen that combines pan-drug resistance (PDR), hypervirulence, and a multilayered, highly developed defense against bacteriophages. This genomic convergence confounds treatment options and emphasizes the evolutionary capability of this priority pathogen to resist both the antimicrobial and natural predatory pressures. The presence of phage anti-defense systems underlines a dynamic co-evolutionary arms race with significant implications for the potential failure of phage therapy against such robustly defended isolates.

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