Abstract
The Kingella genus includes two pathogenic species, namely K. kingae and K. negevensis, as well as strictly commensal species. Both K. kingae and K. negevensis secrete a toxin called RtxA that is absent in the commensal species. Phylogenetic analysis demonstrates that the toxin-encoding operon rtxCrtxAtolC was acquired by a common ancestor of the pathogenic Kingella species and that a preexisting type I secretion system was co-opted for toxin export. Subsequent genomic reorganization distributed the toxin machinery across two loci, with 30-35% of K. kingae strains containing two copies of the rtxA toxin gene. The rtxA duplication is largely clonal and strongly associated with invasive disease. In assays with isogenic strains, a single copy of rtxA was associated with reduced virulence in vitro. This study establishes the critical steps in the evolutionary transition from commensal to pathogen, including horizontal gene transfer, co-option of an existing secretion system, and gene duplication.
Competing Interest Statement
The authors have declared no competing interest.
