PT - JOURNAL ARTICLE AU - Sebastian Bruchmann AU - Theresa Feltwell AU - Julian Parkhill AU - Francesca L. Short TI - Identifying virulence determinants of multidrug-resistant <em>Klebsiella pneumoniae</em> in <em>Galleria mellonella</em> AID - 10.1101/2020.10.30.362657 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.10.30.362657 4099 - http://biorxiv.org/content/early/2020/10/31/2020.10.30.362657.short 4100 - http://biorxiv.org/content/early/2020/10/31/2020.10.30.362657.full AB - Infections caused by Klebsiella pneumoniae are a major public health threat. Extensively drug-resistant and even pan-resistant strains have been reported. Understanding K. pneumoniae pathogenesis is hampered by the fact that murine models of infection offer limited resolution for the non-hypervirulent strains which cause the majority of infections. We have performed genome-scale fitness profiling of a multidrug-resistant K. pneumoniae ST258 strain during infection of the insect Galleria mellonella, with the aim to determine if this model is suitable for large-scale virulence factor discovery in this pathogen. Our results demonstrated a dominant role for surface polysaccharides in infection, with contributions from siderophores, cell envelope proteins, purine biosynthesis genes and additional genes of unknown function. Comparison with a hypervirulent strain, ATCC 43816, revealed substantial overlap in important infection-related genes, as well as additional putative virulence factors that may be specific to ST258. Our analysis also identified a role for the metalloregulatory protein NfeR (also called YqjI) in virulence. Overall, this study offers new insight into the infection fitness landscape of K. pneumoniae ST258, and provides a framework for using the highly flexible, scalable G. mellonella infection model to dissect the molecular virulence mechanisms of K. pneumoniae and other bacterial pathogens.Competing Interest StatementThe authors have declared no competing interest.