# Preferred evolutionary routes of convergence in Klebsiella pneumoniae favor siderophore acquisition over hypervirulence

**Authors:** Francois Lebreton, Anjali Sapre, Melissa Martin, Ting Luo, Ulrike Carlino-MacDonald, Connor Davies, Emma Mills, Ana Ong, Rosslyn Maybank, Messiah Odeyale, Yoon Kwak, Valentyn Kovalchuk, Viacheslav Kondratiuk, Nadiia Fomina, Alan Hutson, Magda Metreveli, Denis Byarugaba, Tamer Osman, Lillian Musila, Paul Rios, John Mark Velasco, Nattaya Ruamsapp, Jason Bennett, Patrick Mc Gann, Thomas Russo

PMC · DOI: 10.21203/rs.3.rs-8613390/v1 · Research Square · 2026-02-13

## TL;DR

This study shows that Klebsiella pneumoniae strains evolve by gaining siderophore genes, not hypervirulence, to become more successful in spreading.

## Contribution

The study identifies a universal evolutionary route involving siderophore acquisition in convergent Klebsiella pneumoniae strains.

## Key findings

- Convergent Klebsiella strains commonly acquire IncFIB(Mar)/IncHI1B plasmids with incomplete virulence markers.
- Aerobactin siderophore locus is universally acquired across 25 convergence events.
- Convergent isolates show enhanced siderophore production but lack hypervirulence in vivo.

## Abstract

The rise of Klebsiella pneumoniae combining antimicrobial resistance and virulence genes poses a major health threat, but the evolutionary routes and phenotypic consequences of this convergence are poorly understood. Here, phylogenetics of 1,468 isolates and population analysis of 7,520 plasmids, from >50 countries through the last two decades, reveal that convergence follows preferred, constrained evolutionary paths. The dominant route involves multidrug-resistant classical K. pneumoniae acquiring conjugative IncFIB(Mar)/IncHI1B plasmids carrying an incomplete set of virulence biomarkers. Across 25 independent convergence events, the acquisition of the aerobactin siderophore locus was the only universal feature. These convergent isolates exhibit enhanced siderophore production but consistently lack the hypervirulent phenotype in vivo. In contrast, genuine hypervirulent strains that gain resistance remain rare. We conclude that enhanced siderophore production, not hypervirulence, is the primary adaptive trait driving the success of globally emerging convergent lineages, representing a distinct evolutionary state optimized for transmission rather than systemic invasion.

## Linked entities

- **Species:** Klebsiella pneumoniae (taxon 573)

## Full-text entities

- **Genes:** blaNDM-1 [NCBI Gene 17373266], NDM-1 [NCBI Gene 18983573], CTX-M-15 [NCBI Gene 18261918], Carbapenemase [NCBI Gene 13913776], rmtB [NCBI Gene 13914407], blaCTX-M-15 [NCBI Gene 10228415]
- **Diseases:** burn (MESH:D002056), pneumonia (MESH:D011014), Emerging Infections (MESH:D004630), Klebsiella pneumoniae (MESH:D007710), AMR (MESH:D060467), MDR (MESH:D018088), bloodstream infections (MESH:D018805), dehydration (MESH:D003681), Infection (MESH:D007239), photophobia (MESH:D020795), death (MESH:D003643)
- **Chemicals:** Carbapenem (MESH:D015780), iron (MESH:D007501), chromeazurol S (MESH:C015076), casamino acids (MESH:C017721), polysaccharide (MESH:D011134), O (MESH:D010100), aminoglycosides (MESH:D000617), PBS (MESH:D007854), lipopolysaccharide (MESH:D008070), cephalosporin (MESH:D002511), aerobactin (MESH:C031819), salmochelin (MESH:C000630262), MRSN (-)
- **Species:** Sinorhizobium sp. T23 (species) [taxon 617194], Klebsiella pneumoniae (species) [taxon 573], Mus musculus (house mouse, species) [taxon 10090], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12919175/full.md

## References

57 references — full list in the complete paper: https://tomesphere.com/paper/PMC12919175/full.md

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Source: https://tomesphere.com/paper/PMC12919175