The global spread of multidrug‐resistant hypervirulent Klebsiella pneumoniae (MDR‐HvKp), among which carbapenem‐resistant strains are of major concern, poses a severe threat to public health due to its high mortality rate and extremely limited treatment options. While human‐derived HvKp strains are well‐studied, animal‐origin variants remain poorly characterized. Here, we isolated a HvKp strain KPB from a swine farm in China, exhibiting high mortality and extreme virulence (LD 50 = 20 CFU). Phylogenomic analysis of 342 K. pneumoniae genomes revealed that the swine‐derived KPB (sequence type 25 ST25 lineage) clusters closely with clinical isolates, suggesting zoonotic transmission risks. Targeted mutagenesis identified wcaJ/wzc ‐mediated capsule synthesis as the critical virulence determinant, with capsule‐deficient mutants showing 100% reduced lethality in mouse infection models. Building on this, we developed a phage therapy achieving 100% survival in infected mice at 10 1 PFU doses. These findings highlight the evolutionary convergence of animal and human HvKp strains and propose phage‐based strategies as a promising countermeasure against infections due to HvKp. Our study underscores the urgency of One Health surveillance to mitigate zoonotic threats.
Chen et al. (Thu,) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: