Phagocytosis resistance is an important virulence factor in Klebsiella pneumoniae. Dictyostelium has been used to study the interaction between phagocytes and bacteria because of its similarity to mammalian macrophages. In this study, we used a Dictyostelium model to investigate genes for resistance to phagocytosis in NTUH-K2044, a strain of K. pneumoniae causing pyogenic liver abscess that is highly resistant to phagocytosis. A total of 2,500 transposon mutants were screened by plaque assay, and 29 of them permitted phagocytosis by Dictyostelium. In the 29 mutants, six loci were identified; three were capsular synthesis genes. Of the other three, one was related to carnitine metabolism, one encoded a subunit of protease (clpX), and one encoded a lipopolysaccharide O-antigen transporter (wzm). Deletion and complementation of these genes showed that only âŹclpX and âŹwzm mutants became susceptible to Dictyostelium phagocytosis, and their complementation restored the phagocytosis resistance phenotype. These two mutants were also susceptible to phagocytosis by human neutrophils and revealed attenuated virulence in a mouse model, implying that they play important roles in the pathogenesis of K. pneumoniae. Furthermore, we demonstrated that clpP, which exists in an operon with clpX, was also involved in resistance to phagocytosis. The transcriptional profile of âŹclpX was examined by microarray analysis and revealed a 3-fold lower level of expression of capsular synthesis genes. Therefore, we have identified genes involved in resistance to phagocytosis in K. pneumoniae using Dictyostelium, and this model is useful to explore genes associated with resistance to phagocytosis in heavily encapsulated bacteria.Phagocytes are a first line of defense against pathogenic organisms and play a key role in the host's innate immune response to bacterial infection. At the same time, bacteria that have developed resistance to phagocytosis or intracellular killing should be more virulent and more likely to succeed in establishing infection. Recently, a powerful model system involving Dictyostelium discoideum was introduced for studying the interactions between phagocytes and bacteria. The amoebal form of D. discoideum shares many unique traits with human phagocytes, especially the ability to ingest and kill bacteria. In addition, bacteria are thought to use similar mechanisms to resist both Dictyostelium in the environment and human phagocytes; therefore, Dictyostelium provides a useful system to study both cellular response and bacterial virulence. Many aspects of phagocytosis have been studied in Dictyostelium, such as the dynamics of the actin cytoskeleton, cellular adhesion, phagosome maturation, and intracellular killing (13,33,35). Dictyostelium has also been used to analyze virulence in different bacterial species, including extracellular and intracellular bacteria, such as Pseudomonas (11, 42), Yersinia (50), Vibrio (43, 44), Legionella (22,25,28), and Mycobacterium (20, 41). In addition, host genes required for the killing of ...