IS-capades of Klebsiella pneumoniae: Insertion sequences drive metabolic loss in obscure sub-lineages

IntroductionKlebsiella pneumoniae is an opportunistic pathogen which causes a wide spectrum of infections within healthcare settings and the community. Four K. pneumoniae sub-lineages defined with cgMLST/LINcodes are known to cause distinct infections of the nasal and/or upper respiratory passages: SL91 and SL10031 (also referred to as subspecies ozaenae), SL10032 (subspecies rhinoscleromatis) and SL82. These sub-lineages have also demonstrated reduced carbon source utilisation, which in other species has been linked with high loads of insertion sequences (IS). MethodsWe performed comparative genomics, analysed IS and constructed genome-scale metabolic models for available public sequences from these four sub-lineages and compared them to other sub-lineages from the wider K. pneumoniae population. ResultsThe four focal sub-lineages displayed significantly higher IS loads (median range 88 to 120 per genome) compared to other K. pneumoniae sub-lineages (median range 12 to 73). Notably, each K. pneumoniae sub-lineage had unique IS profiles, consistent with distinct evolutionary trajectories of IS acquisition and expansion. Across sub-lineages, higher IS loads were inversely associated with the number of metabolic model genes per genome (R2 = 0.16, p <0.001), as well as predicted aerobic substrate utilisation for phosphorus sources (R2 = 0.39, p<0.001) as per a second-degree polynomial regression model (n = 1,664 genomes). Additionally, the four IS-dense sub-lineages displayed a combination of convergent sub-lineage-specific substrate utilisation losses including parallel loss of 3-Phospho-D-glycerate, D-Glycerate-2-phosphate, Phosphoenolpyruvate utilisation as carbon/phosphorus sources. Finally, inspection of IS insertion sites demonstrated frequent and non-destructive insertion next to transcriptional, carbohydrate and amino acid metabolism genes. ConclusionsIS loads were significantly and inversely associated with metabolic substrate usage within K. pneumoniae, whereby sub-lineages that had higher numbers of IS also had reduced metabolic capacity. We hypothesise that an insertional tolerance model explains these findings, whereby IS can only insert into "metabolically-tolerable" sites for the individual cell and any impacts on metabolism are not detrimental for survival.