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Aerobactin, but Not Yersiniabactin, Salmochelin, or Enterobactin, Enables the Growth/Survival of Hypervirulent (Hypermucoviscous) Klebsiella pneumoniae Ex Vivo and In Vivo
Open accessAbstract
The siderophore aerobactin is the dominant siderophore produced by hypervirulent Klebsiella pneumoniae (hvKP) and was previously shown to be a major virulence factor in systemic infection. However, strains of hvKP commonly produce the additional siderophores yersiniabactin, salmochelin, and enterobactin. The roles of these siderophores in hvKP infection have not been optimally defined. To that end, site-specific gene disruptions were created in hvKP1 (wild type), resulting in the generation of hvKP1Δ iucA (aerobactin deficient), hvKP1Δ iroB (salmochelin deficient), hvKP1Δ entB (enterobactin and salmochelin deficient), hvKP1Δ irp2 (yersiniabactin deficient), and hvKP1Δ entB Δ irp2 (enterobactin, salmochelin, and yersiniabactin deficient). The growth/survival of these constructs was compared to that of their wild-type parent hvKP1 ex vivo in human ascites fluid, human serum, and human urine and in vivo in mouse systemic infection and pulmonary challenge models. Interestingly, in contrast to aerobactin, the inability to produce enterobactin, salmochelin, or yersiniabactin individually or in combination did not decrease the ex vivo growth/survival in human ascites or serum or decrease virulence in the in vivo infection models. Surprisingly, none of the siderophores increased growth in human urine. In human ascites fluid supplemented with exogenous siderophores, siderophores increased the growth of hvKP1Δ iucA , with the relative activity being enterobactin > aerobactin > yersiniabactin > salmochelin, suggesting that the contribution of aerobactin to virulence is dependent on both innate biologic activity and quantity produced. Taken together, these data confirm and extend a role for aerobactin as a critical virulence factor for hvKP. Since it appears that aerobactin production is a defining trait of hvKP strains, this factor is a potential antivirulence target.
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“The elaboration and acquisition of the latter three siderophores are associated with the pathogenesis and hypervirulence of K. pneumoniae (1,44,53,54).”
From Siderophore-mediated iron acquisition by Klebsiella pneumoniae (2024) · cites this paper as [54]
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“However, unlike FeEnt, FeAbn uptake was not inhibited by SCN, reinforcing its importance in the pathogenesis of hvKp1 (54).”
From Siderophore-mediated iron acquisition by Klebsiella pneumoniae (2024) · cites this paper as [54]
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“The glucosylated ferric catecholate does not adsorb well to siderocalin ( Kumar et al., 2022 ), which promotes the pathogenesis of clinical isolates of E. coli, K. pneumoniae, and Salmonella typhimurium in human and animal hosts ( Russo et al., 2011 , 2015 ).”
From Specificity and mechanism of TonB-dependent ferric catecholate uptake by Fiu (2024) · cites this paper as Russo et al., 2015
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Lin, T., Tseng, C.-Y., Lai, Y., Wu, C.-C., Huang, C.-F., & Lin, C.-T. (2017) · Frontiers in Microbiology · doi:10.3389/fmicb.2017.01984 · Cited by 22
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“Furthermore, experimental studies showed that aerobactin was the most critical hvKpspecific siderophore and enhanced pathogenesis, more so than yersiniabactin, salmochelin, or enterobactin [26, 27].”
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Zhang, Q.-B., Zhu, P., Zhang, S., Rong, Y.-J., Huang, Z., Sun, L.-W., & Cai, T. (2023) · Archives of Microbiology · doi:10.1007/s00203-023-03665-y · Cited by 19
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ResultGołębiewska, J., Krawczyk, B., Wysocka, M., Ewiak, A., Komarnicka, J., Bronk, M., Rutkowski, B., & Dębska-Ślizień, A. M. (2019) · Journal of Medical Microbiology · doi:10.1099/jmm.0.000942 · Cited by 17
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“…considered one of the most important siderophores, accounting for increased side-rophore production, and is a major virulence determinant of hvKP. 38 Our in vitro and in vivo virulence assessments showed that the virulence of KPN55602 was similar to that of the ST23 reference strain KPN54798…”
Tutelyan, A. V., Shlykova, D. S., Voskanyan, S. L., Михайлович, Г. А., & Писарев, В. М. (2022) · Bulletin of Experimental Biology and Medicine · doi:10.1007/s10517-022-05424-3 · Cited by 15
“Although the data do not support a role for salmochelin in the development of systemic infection, in combination with microcin E492 it can provide a competitive advantage in gastrointestinal colonization [109,110,125].”
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“Previous studies showed that various virulence factors could concurrently be present in hvKP.(3) This study revealed that BSI hvKP strongly related to rmpA, iroBCD cluster, ybtS, clbA, and allS.”
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“Moreover, virulence genes, such as siderophores, which have an essential role in bacterial survival and virulence [49,50], have been previously associated with the MDR-K.”
BackgroundInfection metallomics for critical care in the post‐COVID era
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“was the dominant siderophore produced by the hvKp strains and the critical siderophore that enhances virulence ex vivo and in vivo.(33) Aerobactin significantly enhances the survival of isolates in human ascites, in the serum, and in outbred mouse systemic and pulmonary infection models, which accounts for >80 to 90%…”
BackgroundSydow, K., Eger, E., Schwabe, M., Heiden, S. E., Bohnert, J. A., Franzenburg, S., Jurischka, C., Schierack, P., & Schaufler, K. (2022) · Microorganisms · doi:10.3390/microorganisms10102063 · Cited by 13
“This matches the WGS data, where only yersiniabactin and enterobactin siderophore systems were found, while aerobactin, the dominant siderophore in hvKp [64], was absent.”
BackgroundResultHoashi, K., Harada, S., Ishii, Y., Aoki, K., Ishikawa, S., Oshiro, Y., & Shinzato, T. (2019) · IDCases · doi:10.1016/j.idcr.2019.e00577 · Cited by 14
“pneumoniae isolate showed that, compared with other siderophores produced by the species, aerobactin had most significant impact on the bacterial growth in human ascites and serum as well as virulence in a mouse infection model [17].”
ResultThacharodi, A., Ahmed, T., Hassan, S., Singh, P. K., Saraswathi, A., & Pugazhendhi, A. (2026) · iScience · doi:10.1016/j.isci.2026.114782 · Cited by 13
“89 Salmochelin, aerobactin, and yersiniabactin are more common in hvKp strains than in classical K. pneumoniae (cKp) strains.”
Sahoo, S., Sahoo, R. K., Gaur, M., Behera, D. U., Sahu, A., Das, A., Dey, S., Dixit, S., & Subudhi, E. (2022) · Letters in Applied Microbiology · doi:10.1093/lambio/ovac005 · Cited by 12
Population dynamics and characteristics of Klebsiella pneumoniae from healthy poultry in Norway
Kaspersen, H. P., Urdahl, A. M., Franklin‐Alming, F. V., Ilag, H. K., Hetland, M. A. K., Bernhoff, E., Löhr, I. H., & Sunde, M. (2023) · Frontiers in Microbiology · doi:10.3389/fmicb.2023.1193274 · Cited by 13
“The loss of the salmochelin locus in the 2020 ST4710 isolates may therefore be related to fitness, since salmochelin does not contribute significantly to siderophore production in the presence of the aerobactin locus (Russo et al., 2015).”
BackgroundKain, M. J. W., Reece, N., Parry, C. M., Rajahram, G. S., Paterson, D. L., & Woolley, S. (2024) · Tropical Medicine and Infectious Disease · doi:10.3390/tropicalmed9040080 · Cited by 13
Hirai, J., Sakanashi, D., Kinjo, T., Haranaga, S., & Fujita, J. (2020) · Infection and Drug Resistance · doi:10.2147/idr.s252637 · Cited by 13
An integrated IncFIB/IncFII plasmid confers hypervirulence and its fitness cost and stability
Zhao, Q., Feng, Y., & Zong, Z. (2022) · European Journal of Clinical Microbiology & Infectious Diseases · doi:10.1007/s10096-022-04407-6 · Cited by 13
“Typically, pLVPK-like plasmids are not self-transmissible due to the lack of a complete conjugation module [2, 3].”
BackgroundKawser, Z., & Shamsuzzaman, S. (2022) · International Journal of Applied and Basic Medical Research · doi:10.4103/ijabmr.ijabmr_747_21 · Cited by 13
“pneumoniae, aerobactin (encoded by iutA), salmochelin (also known as catechol receptors) (encoded by iroN), and yersiniabactin are the representative siderophores.[6,7] The convergence of hypervirulence and multidrug resistance (MDR) in K.”
BackgroundMa, X., Zhang, L., Yue, C., Liu, Y., & Li, J. (2022) · Infection and Drug Resistance · doi:10.2147/idr.s370273 · Cited by 13
“Recent data have directly demonstrated only aerobactin plays in hvKp growth/survival ex vivo and for the enhanced virulence of the hvKp in vivo.(32) As such, it has been proposed as an anti-virulence target.”
BackgroundSpecificity and mechanism of TonB-dependent ferric catecholate uptake by Fiu
Yang, T., Zou, Y., Ng, H. L., Kumar, A., Newton, S. M., & Klebba, P. E. (2024) · Frontiers in Microbiology · doi:10.3389/fmicb.2024.1355253 · Cited by 11
Patel, K. D., Fisk, M. B., & Gulick, A. M. (2024) · Critical Reviews in Biochemistry and Molecular Biology · doi:10.1080/10409238.2025.2476476 · Cited by 12
“Genetic disruption of the aerobactin cluster results in strains with reduced virulence in animal infection models (Russo et al. 2015), pointing to the primary role that aerobactin plays in vivo in iron acquisition.”
Örsten, S., Demirci‐Duarte, S., Ünalan-Altıntop, T., Çakar, A., Sancak, B., Ergünay, K., & Özkuyumcu, C. (2020) · Acta Microbiologica et Immunologica Hungarica · doi:10.1556/030.2020.01143 · Cited by 12
Yang, P., Wu, Z., Liu, C., Zheng, J., Wu, N., Wu, Z., Yi, J., Lu, M., & Shen, N. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.889020 · Cited by 12
“Studies have demonstrated that genetic traits perform better than hypermucoviscosity as a marker for differentiating hvKp and cKp (14, 15).”
BackgroundJin, Z., Wang, Z., Gong, L., Yi, L., Liu, N., Luo, L., & Gong, W. (2022) · AMB Express · doi:10.1186/s13568-022-01437-3 · Cited by 12
“pneumoniae has four kinds of iron carriers, namely enterobactin, aerobactin, salmochelin, and yersiniabactin, among which aerobactin, salmochelin, and yersiniabactin are the most common in hvKP (Lawlor et al. 2007; Hsieh et al. 2008; Russo et al. 2015; Lam et al. 2018).”
BackgroundLi, H., Zhang, L., Zhang, W., Li, J., Li, Y., & Hu, T.-P. (2023) · Infection and Drug Resistance · doi:10.2147/idr.s391468 · Cited by 12
“5% of PLA-derived KPN isolates carry this gene.(33,34) In addition, in KPN strains, common virulence factors are aerobic actin (aero), irp2, iucD, iutA, iron, kfu, ybtA, entB (encoding siderophore), wcaG, fimH (encoding type-1 bacteria [hair]) and mrkD (encoding type-3 fimbriae).”
BackgroundForging biofilms: metal-induced microbial responses in biofilm formation
Price, S. L., & Skaar, E. P. (2025) · Journal of Bacteriology · doi:10.1128/jb.00247-25 · Cited by 15
“The ability of K. pneumoniae strains to produce multiple siderophores has been linked with hypervirulence and hypermucoviscosity, which enhances liver abscess formation (180, 181).”
Xu, M., Qian, C., Jia, H., Feng, L., Shi, S., Zhang, Y., Wang, L., Cao, J., Zhou, T., & Zhou, C. (2022) · Infection and Drug Resistance · doi:10.2147/idr.s387187 · Cited by 11
“It has been reported that aerobactin encoded by the iucABCD operon accounts for >90% of the siderophore activity and plays a crucial role in the growth and survival of hvKP in vivo and in vitro.(35) However, our results showed that FK8578 still has a high fatality rate in G.”
ResultHo, Y.-H., Ho, S., Hsu, C., Shie, J., & Wang, T. A. (2017) · Chemical Communications · doi:10.1039/c7cc05197b · Cited by 11
Lan, P., Zhao, D., Gu, J. Y., Shi, Q., Yan, R., Jiang, Y., Zhou, J., & Yu, Y. (2021) · Frontiers in Microbiology · doi:10.3389/fmicb.2020.617651 · Cited by 11
Genome-Based Analysis of a Multidrug-Resistant Hypervirulent Klebsiella pneumoniae
Lv, F., Wang, W., Luo, Y., Wang, H., Zhi, T., Li, X., Guo, Z., & Zhao, Z. (2022) · Microbial Drug Resistance · doi:10.1089/mdr.2021.0307 · Cited by 10
“Especially, aerobactin is the dominant siderophore and has been regarded as the critical virulence factor for systemic infection with hvKP. 10 Therefore, the major virulence genes ( rmpA , rmpA2 , iucA , and iroB ) have usually been used as potential biomarkers for differentiating hvKP from cKP. 13…”
Guo, M., Gao, B., Su, J., Zeng, Y., Cui, Z., Liu, H., Guo, X., Zhu, Y., Wei, B., Zhao, Y., et al. (2023) · BMC Microbiology · doi:10.1186/s12866-023-03022-5 · Cited by 10
“In this study, we found that iucA , one of the genes in the iuc operon encoding aerobactin, a critical mediator of virulence, and it is significant differences in genome distribution between the VAP and PLA strains, although the strains studied were somewhat different in cKp and hvKp [40, 41].”
BackgroundLiu, X., Yang, X., Ye, L., Chan, E. W., & Chen, S. (2022) · Microbiology Spectrum · doi:10.1128/spectrum.00788-22 · Cited by 10
“90% of the siderophore activity, despite the fact that hvKP produces multiple siderophores (17).”
BackgroundHyun, M., Lee, J. Y., & Kim, H. A. (2024) · Diagnostics · doi:10.3390/diagnostics14080792 · Cited by 9
“Many studies on hypervirulent K. pneumoniae have been conducted over the years, and some researchers suggested that not only hypermucoviscosity but also aerobactin could be used to evaluate hypervirulence [12–14].”
BackgroundXu, Q., Xie, M., Yang, X., Liu, X., Ye, L., Chen, K., Chan, E. W., & Chen, S. (2024) · Microbiological Research · doi:10.1016/j.micres.2024.127896 · Cited by 9
Huang, J., Alhejaili, A. Y., Alkherd, U. H., Milner, M., Zhou, G., AlZahrani, D., Banzhaf, M., Alzaidi, A. A., Rajeh, A. A., Al-Otaiby, M. A., et al. (2024) · Emerging Microbes & Infections · doi:10.1080/22221751.2024.2427793 · Cited by 10
“A total of 163 strains contained the siderophore aerobactin iuc locus, which is known to be directly associated with sepsis and the promotion of bacterial growth in the bloodstream [10,22] (Figure 2, Figure 4B).”
Wang, J., Ji, X., García, P., Li, J., Zhang, L., Wang, H., Wang, R., & He, T. (2025) · Microbiological Research · doi:10.1016/j.micres.2025.128242 · Cited by 9
Karami‐Zarandi, M., Ghaleh, H. E. G., & Ranjbar, R. (2022) · Future Microbiology · doi:10.2217/fmb-2021-0222 · Cited by 8
ST218 Klebsiella pneumoniae became a high-risk clone for multidrug resistance and hypervirulence
Yang, P., Liu, C., Du, P., Yi, J., Wu, Z., Zheng, J., Shen, N., Cui, L., & Lu, M. (2024) · BMC Microbiology · doi:10.1186/s12866-024-03205-8 · Cited by 8
“Thomas and his colleagues found that aerobactin plays important roles in hypervirulence [5].”
BackgroundKlaper, K., Pfeifer, Y., Heinrich, L., Prax, M., Krut, O., Bekeredjian‐Ding, I., Wahl, A., Fischer, M. A., Kaspar, H., Borgmann, S., et al. (2025) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2025.1522573 · Cited by 8
New insights and perspectives on the virulence of hypervirulent Klebsiella pneumoniae
Mba, I. E., Odunayo, T., Uwazie, C. K., Aina, F. A., Kemisola, A. O., & Uwazie, I. J. (2025) · Folia Microbiologica · doi:10.1007/s12223-025-01261-9 · Cited by 8
“Generally, the key virulence factors that play an important role in the pathogenicity of hvKp include the siderophore, salmochelin, and capsular polysaccharides (Russo et al. 2015).”
Mobile genetic elements in shaping Klebsiella pneumoniae pathogenicity
Li, Y., & Farzana, R. (2026) · Frontiers in Microbiology · doi:10.3389/fmicb.2025.1730961 · Cited by 9
Hypervirulent Klebsiella pneumoniae: Epidemiology, virulence factors, and antibiotic resistance
Hefzy, E. M., Taha, R. M., Salam, S. A. E., Abdelmoktader, A., & Khalil, M. A. F. (2023) · Novel Research in Microbiology Journal · doi:10.21608/nrmj.2023.287177 · Cited by 8
“…transporter), iuc (biosynthetic genes for such siderophore aerobactin), rmpA, and rmpA2 (regulators that promote the capsule formation), are the most wellknown virulence factors with an experimental evidence for conferring the hypervirulent phenotype (Russo et al., 2015; Bulger et al., 2017).”
BackgroundKrieger, A.-K., Knappe, D., Öhlmann, S., Mayer, L., Eder, I. B., Köller, G., Hoffmann, R., Rieckmann, K., & Baums, C. G. (2020) · Journal of Global Antimicrobial Resistance · doi:10.1016/j.jgar.2020.12.012 · Cited by 8
Fatal fulminant community-acquired pneumonia caused by hypervirulent Klebsiella pneumoniae K2-ST86
Yamamoto, H., Iijima, A., Kawamura, K., Matsuzawa, Y., Suzuki, M., & Arakawa, Y. (2020) · Medicine · doi:10.1097/md.0000000000020360 · Cited by 8
“[9] Moreover, aerobactin, a dominant siderophore produced by hvKp, is required for the in vivo growth of the bacterial pathogens and is considered a crucial factor for their hypervirulence.([10]) In addition, glucose intolerance, presumably due to chronic alcohol changes, might have affected the catastrophic phenotype…”
Background
Metadata
- Authors
- Russo, T. A., Olson, R., MacDonald, U., Beanan, J., & Davidson, B. A.
- Affiliations
- VA Western New York Healthcare System (US)
- Venue
- Infection and Immunity
- Publisher
- American Society for Microbiology
- Published
- 2015-08
- Volume
- 83
- Issue
- 8
- Pages
- 3325-3333
- ISSN
- 0019-9567 (ISSN-L)
- 1098-5522
- PMC
- PMC4496593
- OpenAlex
- W2283434174
- Semantic Scholar
- e716de1372bc2153e94e76130028b8b30a86c6b0
- Cited by
- 305
- References
- 49
- Citations by year
- 2026: 32 · 2025: 32 · 2024: 34 · 2023: 33 · 2022: 56 · 2021: 28 · 2020: 25 · 2019: 16 · 2018: 24 · 2017: 11 · 2016: 13 · 2015: 1
- FWCI
- 12.66
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Infection and Immunity (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- National Institutes of Health (W81XWH)
- National Institute of Allergy and Infectious Diseases (R21AI088318)
- Telemedicine and Advanced Technology Research Center
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Escherichia coli research studies
- Life Sciences › Immunology and Microbiology › Microbiology › Enterobacteriaceae and Cronobacter Research
- Health Sciences › Medicine › Microbiology (medical) › Antibiotic Resistance in Bacteria
- Keywords
- aerobactin, yersiniabactin, salmochelin, enterobactin, siderophores, hypervirulent Klebsiella pneumoniae, hypermucoviscous Klebsiella pneumoniae, virulence factors, iron acquisition, iucA, IRP2, entB, iroB, systemic infection, pulmonary infection, ascitic fluid, human serum, human urine
- MeSH terms
- Animals, Enterobactin, Glucosides, Humans, Hydroxamic Acids, Klebsiella Infections, Klebsiella pneumoniae, Male, Phenols, Thiazoles, Virulence, Siderophores, Microbial Viability, Mice, Young Adult
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