Article
- Detection of colistin-resistant populations prior to antibiotic exposure in KPC-2-producing Klebsiella pneumoniae clinical isolates
-
Jungyu Seo , Yu Mi Wi , Jong Min Kim , Yae-Jean Kim , Kwan Soo Ko
-
J. Microbiol. 2021;59(6):590-597. Published online March 29, 2021
-
DOI: https://doi.org/10.1007/s12275-021-0610-1
-
-
534
View
-
4
Download
-
11
Web of Science
-
10
Crossref
-
Abstract
PDF
-
Although colistin is frequently regarded as the antibiotic of
last resort in treating carbapenem-resistant Klebsiella pneumoniae,
colistin heteroresistance may in part be associated
with antibiotic treatment failure. However, we do not know
how widespread the colistin heteroresistance is in carbapenem-
resistant K. pneumoniae isolates. In this study, we performed
colistin disc diffusion assays, E-tests, and population
analysis profiling for KPC-2-producing K. pneumoniae isolates
to identify colistin heteroresistance. Although no colistin-
resistant colonies were detected by the disc diffusion
test and E-test, a colistin-resistant subpopulation was identified
in population analysis profiling in all colistin-susceptible,
KPC-2-producing K. pneumoniae isolates. Colistin-resistant
subpopulations were also identified even when isolates
had no colistin exposure. The ratio of colistin-resistant
subpopulations to the total population increased as the exposure
concentration of colistin increased. In in vitro time-kill
assays, regrowth was observed in all isolates after 2 h upon
exposure to colistin. We identified common amino acid alterations
in PhoQ, PhoP, and PmrB in colistin-resistant subpopulations
from some isolates, but no substitutions were
found in most resistant subpopulations from other isolates.
In all colistin-resistant subpopulations, overexpression of
PhoQ and PbgP was observed. In this study, we demonstrated
that colistin heteroresistance may be common in KPC-2-producing
K. pneumoniae isolates, which could not be detected
in the disc diffusion method and E-test. Colistin heteroresistance
may cause colistin treatment failure in part and may
evolve into resistance. Thus, development of more reliable
diagnostic methods is required to detect colistin heteroresistance.
-
Citations
Citations to this article as recorded by

- High prevalence of polymyxin-heteroresistant carbapenem-resistant Klebsiella pneumoniae and its within-host evolution to resistance among critically ill scenarios
Xiaoli Wang, Tianjiao Meng, Yunqi Dai, Hong-Yu Ou, Meng Wang, Bin Tang, Jingyong Sun, Decui Cheng, Tingting Pan, Ruoming Tan, Hongping Qu
Infection.2025; 53(1): 271. CrossRef - Detection and characterization of heteroresistance to chloramphenicol in Klebsiella pneumoniae isolates
Qihong Kuang, Xiaorui Zhang, Fangping Ou, Lingling Liu, Hui Deng, Bo Yang, Lingxian Yi, Daojin Yu
BMC Microbiology.2025;[Epub] CrossRef - Development of colistin resistance via heteroresistance modeling in Klebsiella pneumoniae: A diagnostic study
Jungyu Seo, Kwan Soo Ko
Precision and Future Medicine.2024; 8(1): 10. CrossRef - Conversion to colistin susceptibility by tigecycline exposure in colistin-resistant Klebsiella pneumoniae and its implications to combination therapy
Suyeon Park, Jihyun Choi, Dongwoo Shin, Ki Tae Kwon, Si-Ho Kim, Yu Mi Wi, Kwan Soo Ko
International Journal of Antimicrobial Agents.2024; 63(1): 107017. CrossRef - Insight into Antibiotic Synergy Combinations for Eliminating Colistin Heteroresistant Klebsiella pneumoniae
Sahaya Glingston Rajakani, Basil Britto Xavier, Adwoa Sey, El Bounja Mariem, Christine Lammens, Herman Goossens, Youri Glupczynski, Surbhi Malhotra-Kumar
Genes.2023; 14(7): 1426. CrossRef - Mechanisms and Clinical Relevance ofPseudomonas aeruginosaHeteroresistance
Zhao Chen
Surgical Infections.2023; 24(1): 27. CrossRef - Heteroresistance Is Associated With in vitro Regrowth During Colistin Treatment in Carbapenem-Resistant Klebsiella pneumoniae
Yifan Wang, Xinqian Ma, Lili Zhao, Yukun He, Wenyi Yu, Shining Fu, Wentao Ni, Zhancheng Gao
Frontiers in Microbiology.2022;[Epub] CrossRef - Prevalence of Mutated Colistin-Resistant Klebsiella pneumoniae: A Systematic Review and Meta-Analysis
Nik Yusnoraini Yusof, Nur Iffah Izzati Norazzman, Siti Nur’ain Warddah Ab Hakim, Mawaddah Mohd Azlan, Amy Amilda Anthony, Fatin Hamimi Mustafa, Naveed Ahmed, Ali A. Rabaan, Souad A. Almuthree, Abdulsalam Alawfi, Amer Alshengeti, Sara Alwarthan, Mohammed G
Tropical Medicine and Infectious Disease.2022; 7(12): 414. CrossRef - Antibiotic Heteroresistance in Klebsiella pneumoniae
Karolina Stojowska-Swędrzyńska, Adrianna Łupkowska, Dorota Kuczyńska-Wiśnik, Ewa Laskowska
International Journal of Molecular Sciences.2021; 23(1): 449. CrossRef - Treatment for carbapenem-resistant Enterobacterales infections: recent advances and future directions
Kathleen Tompkins, David van Duin
European Journal of Clinical Microbiology & Infectious Diseases.2021; 40(10): 2053. CrossRef
Research Support, Non-U.S. Gov't
- The Use of Pseudomonas fluorescens P13 to Control Sclerotinia Stem Rot (Sclerotinia sclerotiorum) of Oilseed Rape
-
Hui Li , Huaibo Li , Yan Bai , Jing Wang , Ming Nie , Bo Li , Ming Xiao
-
J. Microbiol. 2011;49(6):884-889. Published online December 28, 2011
-
DOI: https://doi.org/10.1007/s12275-011-1261-4
-
-
283
View
-
0
Download
-
28
Crossref
-
Abstract
PDF
-
Sclerotinia stem rot (SSR) caused by the fungus Sclerotinia sclerotiorum has been an increasing threat to oilseed rape (Brassica napus L.) cultivation. Efficient and environment‐friendly treatments are much needed. Here we focus on microbial control. The Pseudomonas fluorescens P13 that was isolated from oilseed rape cultivation soil, proved to be a useful biocontrol strain for application. Morphology, physiological and biochemical tests and 16S rDNA analysis demonstrated that it was P. fluorescens P13 and that it had a broad antagonistic spectrum, significantly lessening the mycelial growth of S. sclerotiorum by 84.4% and suppressing sclerotial formation by 95‐100%. Scanning electron microscopy studies attested that P13 deformed S. sclerotiorum mycelia when they were cultured together. P13 did not produce chitinase but did produce hydrogen cyanide (HCN) which was likely one of the antagonistic mechanisms. The density of P13 remained at a high level (≥106 CFU/ml) during 5 weeks in the rhizosphere soil and roots. P13 reduced SSR severity at least by 59% in field studies and also promoted seedling growth (p<0.05) at the seedling stage. From these data, our work provided evidence that P13 could be a good alternative biological resource for biocontrol of S. sclerotiorum.
-
Citations
Citations to this article as recorded by

- Biocontrol potential of Penicillium manginii SWU-P6 against Sclerotinia rot of cabbage and its complete genome sequence analysis
Lei Wu, Jiabing Wu, ZhiKun Ju, Xiaoming Liu, Qinfei Li, Xuesong Ren, Hongyuan Song, Jun Si
Postharvest Biology and Technology.2026; 237: 114292. CrossRef -
Sclerotinia
spp. causing root rot of
Panax ginseng
in Northeast China and its potential biocontrol by
Bacillus amyloliquefaciens
FS6
Shi Feng, Qihang Li, Xue Wang, Mingyuan Hu, Lina Yang, Changqing Chen, Baohui Lu, Jie Gao, Lindsey Price Burbank
Microbiology Spectrum.2025;[Epub] CrossRef -
Investigation of the biocontrol mechanism of a novel
Pseudomonas
species against phytopathogenic
Fusarium graminearum
revealed by multi-omics integration analysis
Jiawei Dai, Zhaofeng Xu, Ning Yang, Hamiguli Tuerxunjiang, Xin Shan, Yuting Diao, Jiahui Zhao, Meiqi Ma, Xiang Li, Ming Xiao, Junmin Pei, Yvonne Nygård
Applied and Environmental Microbiology.2024;[Epub] CrossRef - Evaluation of 1021Bp, a close relative of Pseudomonas eucalypticola, for potential of plant growth promotion, fungal pathogen suppression and boxwood blight control
Ping Kong, Chuanxue Hong
BMC Microbiology.2024;[Epub] CrossRef - Biocontrol strategies for the management of Sclerotinia sclerotiorum in Brassica species: A review
Su-Yan Wang, Yong-Hui Jiang, Xin Chen, Daniela D. Herrera-Balandrano, Marta Filipa Simoes, Xin-Chi Shi, Pedro Laborda
Physiological and Molecular Plant Pathology.2024; 130: 102239. CrossRef - Biological control of Sclerotinia sclerotiorum: Modes of action of biocontrol agents, soil organic amendments, and soil microbiome manipulation
Viet-Cuong Han, Pippa J. Michael, Bec Swift, Sarita J. Bennett
Biological Control.2023; 186: 105346. CrossRef - New rhizobacteria strains with effective antimycotic compounds against rhizome rot pathogens and identification of genes encoding antimicrobial peptides
R. Praveena, K. Srekha, R. Revathy, V. Srinivasan, C. Sarathambal, Priya George, K.P. Subila, R. Dinesh
Rhizosphere.2022; 22: 100515. CrossRef - Bacterial and fungal endophyte communities in healthy and diseased oilseed rape and their potential for biocontrol of Sclerotinia and Phoma disease
C. S. Schmidt, L. Mrnka, P. Lovecká, T. Frantík, M. Fenclová, K. Demnerová, M. Vosátka
Scientific Reports.2021;[Epub] CrossRef - Isolation and Screening of Extracellular PGPR from the Rhizosphere of Tomato Plants after Long-Term Reduced Tillage and Cover Crops
Maria Chiara Guerrieri, Elisabetta Fanfoni, Andrea Fiorini, Marco Trevisan, Edoardo Puglisi
Plants.2020; 9(5): 668. CrossRef - Genome Mining and Evaluation of the Biocontrol Potential of Pseudomonas fluorescens BRZ63, a New Endophyte of Oilseed Rape (Brassica napus L.) against Fungal Pathogens
Daria Chlebek, Artur Pinski, Joanna Żur, Justyna Michalska, Katarzyna Hupert-Kocurek
International Journal of Molecular Sciences.2020; 21(22): 8740. CrossRef - Antifungal, Plant Growth-Promoting, and Genomic Properties of an Endophytic Actinobacterium Streptomyces sp. NEAU-S7GS2
Dongli Liu, Rui Yan, Yansong Fu, Xiangjing Wang, Ji Zhang, Wensheng Xiang
Frontiers in Microbiology.2019;[Epub] CrossRef - Heat evolution and energy analysis of cyanide bioproduction by a cyanogenic microorganism with the potential for bioleaching of precious metals
Zhihui Yuan, Yongqiang Yuan, Weiqi Liu, Jujun Ruan, Yaying Li, Yaxin Fan, Rongliang Qiu
Journal of Hazardous Materials.2019; 377: 284. CrossRef - Antifungal activity of volatile compounds produced by Staphylococcus sciuri strain MarR44 and its potential for the biocontrol of Colletotrichum nymphaeae, causal agent strawberry anthracnose
Zahra Alijani, Jahanshir Amini, Morahem Ashengroph, Bahman Bahramnejad
International Journal of Food Microbiology.2019; 307: 108276. CrossRef - A new model for simulating microbial cyanide production and optimizing the medium parameters for recovering precious metals from waste printed circuit boards
Zhihui Yuan, Jujun Ruan, Yaying Li, Rongliang Qiu
Journal of Hazardous Materials.2018; 353: 135. CrossRef - Evaluation of Trichoderma spp., Pseudomonas fluorescens and Bacillus subtilis for biological control of Ralstonia wilt of tomato
Shiva Yendyo, Ramesh G.C., Binayak Raj Pandey
F1000Research.2018; 6: 2028. CrossRef - Evaluation of Trichoderma spp., Pseudomonas fluorescens and Bacillus subtilis for biological control of Ralstonia wilt of tomato
Shiva Yendyo, Ramesh G.C., Binayak Raj Pandey
F1000Research.2018; 6: 2028. CrossRef - Identification and biocontrol potential of antagonistic bacteria strains against Sclerotinia sclerotiorum and their growth-promoting effects on Brassica napus
Guangzheng Sun, Tuo Yao, Chanjing Feng, Long Chen, Jianhong Li, Lide Wang
Biological Control.2017; 104: 35. CrossRef - A split-root system to assess biocontrol effectiveness and defense-related genetic responses in above-ground tissues during the tripartite interaction Verticillium dahliae-olive-Pseudomonas fluorescens PICF7 in roots
Carmen Gómez-Lama Cabanás, Rafael Sesmero, Antonio Valverde-Corredor, F. Javier López-Escudero, Jesús Mercado-Blanco
Plant and Soil.2017; 417(1-2): 433. CrossRef - Bottlenecks in commercialisation and future prospects of PGPR
Bushra Tabassum, Anwar Khan, Muhammad Tariq, Memoona Ramzan, Muhammad Saleem Iqbal Khan, Naila Shahid, Khadija Aaliya
Applied Soil Ecology.2017; 121: 102. CrossRef - Evaluation of Trichoderma spp., Pseudomonas fluorescence and Bacillus subtilis for biological control of Ralstonia wilt of tomato
Shiva Yendyo, Ramesh G.C., Binayak Raj Pandey
F1000Research.2017; 6: 2028. CrossRef - Selection and Assessment of Plant Growth-Promoting Rhizobacteria for Biological Control of Multiple Plant Diseases
Ke Liu, Molli Newman, John A. McInroy, Chia-Hui Hu, Joseph W. Kloepper
Phytopathology®.2017; 107(8): 928. CrossRef - The control of sclerotinia stem rot on oilseed rape (Brassica napus): current practices and future opportunities
M. C. Derbyshire, M. Denton‐Giles
Plant Pathology.2016; 65(6): 859. CrossRef - Biocontrol of vascular streak dieback (Ceratobasidium theobromae) on cacao (Theobroma cacao) through induced systemic resistance and direct antagonism
Wouter Vanhove, Niels Vanhoudt, Patrick Van Damme
Biocontrol Science and Technology.2016; 26(4): 492. CrossRef - Efficacy of biocontrol agents in the management of head rot of cabbage (Brassica oleracea var. capitata) caused by Sclerotinia sclerotiorum
Krishnamoorthy K. Kamesh, A. Sankaralingam, S. Nakkeeran
African Journal of Microbiology Research.2016; 10(40): 1711. CrossRef - Associations with rhizosphere bacteria can confer an adaptive advantage to plants
Cara H. Haney, Buck S. Samuel, Jenifer Bush, Frederick M. Ausubel
Nature Plants.2015;[Epub] CrossRef - Indirect effects of non‐native Spartina alterniflora and its fungal pathogen (Fusarium palustre) on native saltmarsh plants in China
Hui Li, Xiameng Zhang, Rushui Zheng, Xiao Li, Wade H. Elmer, Lorne M. Wolfe, Bo Li, Richard Mack
Journal of Ecology.2014; 102(5): 1112. CrossRef - Transfer of degradative plasmids from a rhizobacterium to single and multiple mixed recipients
Heping Wei, Yujing Wang, Chenhao Zhou, Qiuyue Jiang, Xiaoli He, Jun Chen, Ming Xiao
Annals of Microbiology.2014; 64(4): 1869. CrossRef - Promotion of plant growth, biological control and induced systemic resistance in maize by Pseudomonas aurantiaca JD37
Rui Fang, Jia Lin, Shanshan Yao, Yujing Wang, Jing Wang, Chenhao Zhou, Huijie Wang, Ming Xiao
Annals of Microbiology.2013; 63(3): 1177. CrossRef