Table 3. Summary of mutations found in the 14 strains of Klebsiella pneumoniae analysed, Marseille, France, 2014–2017 (n = 14 isolates).
Strain | ST | wzi | Colistin MIC (µg/mL) | PmrA | PmrB | PhoP | PhoQ | MgrB | CrrB | CrrA | AcrR | AcrS | mcr |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
KP1CR | 307 | NFa | 16 | A41T [13] | L213M [13]; T246A [26,37] | Nob | Nob | Nob | C68S | Nob | Nob | S76R | Nob |
KP2CR | 15 | NFa | 16 | G53Vc [26] | Nob | Nob | Nob | Nob | NFa | NFa | Nob | Nob | Nob |
KP3CR | 307 | NFa | 16 | A41T | L213M; T246A | Nob | Nob | Nob | C68S | Nob | Nob | S76R | Nob |
KP4CR | 307 | 173 | 8 | A41T | L213M; T246A | Nob | Nob | Nob | C68S | Nob | Nob | S76R | Nob |
KP5CR | 307 | 173 | 16 | A41T | L213M; T246A | L12Q | Nob | Nob | C68S | Nob | Nob | S76R | Nob |
KP6CR | 15 | NFa | 16 | Nob | Nob | Nob | L87P | Nob | NFa | NFa | Nob | Nob | Nob |
KP7CR | 307 | 173 | 16 | A41T | L213M; T246A | Nob | Nob | Nob | C68S | Nob | Nob | S76R | Nob |
KP8CR | 307 | 173 | 32 | A41T | L213M; T246A | Nob | Nob | Stop (13AA) d | C68S | Nob | Nob | S76R | Nob |
KP11CR | 101 | 137 | 16 | A217V | T246A | Nob | Nob | Nob | NFa | NF | Nob | H79Q | Nob |
KP12CR | 307 | 173 | 8 | A41T | L213M; T246A | Nob | Nob | Nob | C68S | Nob | Nob | S76R | Nob |
KP13CR | 307 | 173 | 16 | A41T | L213M; T246A | Nob | Nob | Nob | C68S | Nob | Nob | S76R | Nob |
KP14CR | 307 | 173 | 4 | A41T | L213M; T246A | Nob | Nob | Nob | C68S | Nob | Nob | S76R | Nob |
KP15CR | 322 | 50 | > 64 | S64T [26] | Nob | Nob | Nob | IS10 in bp 76 [38] | C68S | Nob | Nob | P211S | Nob |
KP16CR | 101 | 137 | 4 | A217V [13] | T246A | Nob | N135K | Nob | NFa | NFa | Nob | H79Q | Nob |
AA: amino acid; CR: colistin resistant; IS: Insertion Sequence; KP: Klebsiella pneumoniae; MIC: minimum inhibitory concentration; NF: not founda; PROVEAN: Protein Variation Effect Analyzer; ST: sequence type.
a The gene was not found.
b No mutation was found in the gene compared with the reference strain MGH78578.
c A mutation at this position was previously reported to alter protein function, but the substitution was G53C.
d Stop codon at the codon for the 13th AA, leading to a truncated protein.
Mutations in bold were predicted to modify protein function by PROVEAN analysis. Studies that have previously reported some of the mutations listed in the Table are respectively cited next to the mutation.