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Citrobacter freundii

Citrobacter freundii is a Gram-negative, facultative anaerobic, rod-shaped bacterium belonging to the family , typically measuring 1-5 μm in length and exhibiting via peritrichous flagella. It utilizes citrate as a primary carbon source and ferments glucose and other carbohydrates, producing acid and gas. First described in 1958, it represents one of 19 genomospecies within the genus and is phylogenetically related to genera such as and . This bacterium is ubiquitous in the environment, commonly isolated from , , , , and , as well as serving as a commensal in the intestinal tracts of humans and animals. Although generally harmless in healthy individuals, C. freundii can transition to an opportunistic , particularly in nosocomial settings. Clinically, C. freundii is associated with a range of infections, including urinary tract infections, bacteremia, , and , with higher incidence in immunocompromised patients, neonates, and those with underlying conditions like or cancer. It is a notable cause of and , often linked to foodborne transmission or healthcare-associated outbreaks. Virulence factors such as Shiga-like toxins, heat-stable toxins, and a type VI contribute to its pathogenicity, enabling adhesion, , and competition with host . A major concern with C. freundii is its propensity for multidrug resistance, frequently harboring genes like ampC for resistance and emerging mechanisms against and (e.g., mcr-1). As of 2025, recent genomic studies have identified the global spread of multidrug-resistant clones, such as ST22, carrying carbapenemase genes like bla_{NDM}. Studies report resistance rates exceeding 30% to multiple classes (as of 2023), complicating and contributing to high case-fatality rates, up to 30% in severe cases. Its , with numerous sequence types identified globally, underscores its adaptability and potential as a threat.

Taxonomy and Etymology

Discovery and Nomenclature

Citrobacter freundii was originally described in 1928 by C. Braak as "Bacterium freundii," based on bacterial strains that demonstrated the ability to ferment anaerobically to trimethylene glycol. In 1932, C. H. Werkman and A. L. Gillen proposed the to accommodate Gram-negative, rod-shaped bacteria capable of utilizing citrate as a sole carbon source, which were biochemically intermediate between and Aerobacter (now ); they transferred "Bacterium freundii" to this new as the , with cultures isolated from extracts during studies on fermentation pathways. The etymology of the genus name "Citrobacter" combines "citro-" (from citrate, reflecting its utilization) with "bacter" (Latin for rod or staff, denoting its morphology). The species epithet "freundii" honors the Czech bacteriologist August Freund, who in 1881 first reported the microbial conversion of glycerol to trimethylene glycol. Initially grouped with Escherichia coli due to shared coliform characteristics, C. freundii was reclassified into the distinct Citrobacter genus based on differential biochemical traits, including positive citrate utilization, variable lactose fermentation, and production of 2,3-butylene glycol, as detailed in early taxonomic studies by C. A. Stuart and colleagues. The reference type strain is ATCC 8090, derived from an original soil isolate and maintained as the neotype for the species within the Enterobacteriaceae family.

Phylogenetic Classification

Citrobacter freundii belongs to the domain , phylum , class , order , family , genus Citrobacter, and C. freundii. This taxonomic placement reflects its position within the core group of enteric , characterized by Gram-negative rods that are facultative anaerobes. The was originally described in as part of early studies on citrate-utilizing isolated from and . Within the Enterobacteriaceae family, C. freundii is closely related to other Citrobacter species such as C. koseri, as well as Escherichia coli and Salmonella enterica. These relationships are supported by phylogenomic analyses showing shared evolutionary histories, particularly with Salmonella lineages, and frequent misidentifications due to phenotypic similarities. C. freundii is distinguished from these relatives by its ability to utilize citrate as a sole carbon source and its lack of lysine decarboxylase activity, traits that aid in biochemical differentiation. Phylogenetic delineation of C. freundii is further reinforced by 16S rRNA gene , which reveals 98-99% similarity to other Citrobacter , confirming its status while highlighting intra-genus clustering. Although no formal are recognized, the species exhibits biochemical variability, including strains that are decarboxylation positive and negative, as identified in studies.

Morphology and Physiology

Cellular Structure

Citrobacter freundii is a Gram-negative bacterium characterized by its rod-shaped morphology. The cells typically measure 1.0 μm in width and 2.0–6.0 μm in length, appearing singly or in pairs under microscopic examination. This bacillus structure is consistent with other members of the family. The bacterium exhibits motility through peritrichous flagella distributed around the surface, which facilitate in environments. These flagella enable active movement, contributing to the organism's ability to navigate aqueous habitats. The of C. freundii features a typical Gram-negative , including an inner cytoplasmic , a thin layer, and an outer embedded with (LPS). The LPS, a key component of the outer , consists of , core , and O-antigen chains, providing structural integrity and contributing to endotoxin properties. Some strains of C. freundii possess a capsule, which forms an additional extracellular layer surrounding the . This capsular material varies among isolates and can influence surface interactions, though it is not universally present.

Growth and Cultural Characteristics

Citrobacter freundii is a facultative anaerobe capable of growth under aerobic, microaerophilic, or conditions, with optimal proliferation observed at 37°C and a range of 6.5 to 7.5. This bacterium exhibits mesophilic characteristics, with a broader temperature tolerance spanning 10°C to 45°C, allowing slow growth at lower temperatures relevant to refrigerated . Certain strains demonstrate psychrotrophic potential, enabling persistence and potential spoilage in contaminated chilled foods such as products. On selective media like , C. freundii typically forms -fermenting colonies that appear pink, round, and moist, measuring 2-3 mm in diameter after 24-48 hours of at 37°C. While most strains produce these characteristic pink colonies due to acid production from , some variants may exhibit non-lactose-fermenting growth, resulting in colorless or pale colonies. Regarding oxygen-related metabolism, C. freundii reduces to under conditions but does not further reduce it to gaseous products, distinguishing it from true . This nitrate reduction capability supports its survival in oxygen-limited environments, such as sediments or biofilms.

Genomics and Evolution

Genome Organization

The genome of Citrobacter freundii is organized as a single circular with a size typically ranging from 5.0 to 5.4 Mb across . For example, the type ATCC 8090 has a chromosome of 4,957,773 , while CFNIH1 measures 5,099,034 . The G+C content is consistently around 52 mol%, aligning with the genomic signature of the family. Annotation of sequenced reveals approximately 4,600 to 5,300 protein-coding genes (CDSs), depending on the strain, alongside 70-80 genes including rRNAs and tRNAs. A notable feature is the presence of a significant number of hypothetical proteins, often comprising 20-40% of the predicted CDSs, reflecting gaps in functional common to bacterial genomes in this . One of the earliest complete genome sequences, that of environmental isolate CFNIH1 (deposited in 2014 but isolated in 2012), spans 5.1 Mb and includes CRISPR-Cas arrays that provide adaptive immunity against bacteriophages. In addition to the , C. freundii frequently harbor extrachromosomal , typically 50-100 kb in length, which contribute to genetic plasticity. These , such as those of the IncF incompatibility group, often carry genes conferring antibiotic (e.g., carbapenemases like blaIMP-4) or traits, facilitating within bacterial communities. For instance, B38 contains a ~127 kb IncFII with determinants.

Evolutionary History

Citrobacter freundii belongs to the family Enterobacteriaceae, which diversified from an ancestral lineage approximately 300-500 million years ago. Within this family, the genus Citrobacter separated from closely related genera such as Escherichia and Salmonella around 100-140 million years ago, reflecting a deep phylogenetic split that underscores its evolutionary independence while maintaining shared core traits typical of gut-associated microbes. This divergence likely occurred in environmental niches involving soil, water, and animal hosts, allowing C. freundii to adapt metabolic versatility for survival in diverse ecosystems. Horizontal gene transfer (HGT) has played a pivotal role in shaping the pathogenic capabilities of C. freundii, particularly through the acquisition of pathogenicity islands from related like and species. For instance, integrative conjugative elements similar to those in Klebsiella pneumoniae have mediated the transfer of high-pathogenicity islands originally from species into C. freundii strains, enhancing their ability to cause extraintestinal infections. Such highlight how C. freundii has evolved by borrowing genetic toolkits from co-occurring , promoting its transition from commensal to opportunistic pathogen. Genome plasticity in C. freundii is evident from structural variations including inversions, insertions, and rearrangements driven by transposons and insertion sequences, which contribute to niche adaptation and phenotypic diversity. Transposon-mediated insertions, such as those involving IS26 and IS5 elements, have been observed to alter and chromosomal architecture, enabling rapid responses to selective pressures like exposure. These mechanisms of genomic rearrangement, combined with the bacterium's typical of around 4.9-5.1 , facilitate evolutionary flexibility without fundamentally altering core housekeeping genes. In the 2020s, genomic and epidemiological studies have revealed clonal expansions of C. freundii lineages in settings, driven by the of multidrug through accumulated and HGT of resistance cassettes. As of 2025, phylogenetic analyses of over 700 global carbapenemase-producing C. freundii genomes have identified sequence type 22 (ST22) as the predominant multidrug-resistant clone, comprising about 31% of isolates. Analyses of global isolates indicate that certain clones, often associated with carbapenemase genes like NDM-1, have proliferated via and , underscoring ongoing adaptive in clinical environments.

Metabolism and Biochemistry

Nutritional Requirements

Citrobacter freundii utilizes a range of carbon sources to support its growth, including citrate, glucose, , and . The capacity to employ citrate as a sole carbon source is a key feature that differentiates the genus from related . For nitrogen acquisition, C. freundii assimilates or as primary sources. The bacterium lacks urease activity but exhibits in certain strains, facilitating . Essential minerals for C. freundii include magnesium and iron, which are critical for enzymatic functions. Magnesium supports metabolic processes, often in conjunction with other trace elements like , while iron is acquired via production to chelate the metal under limiting conditions. Unlike some related bacteria that depend on external supplies, C. freundii is independent of exogenous , as it synthesizes internally. C. freundii exhibits facultative growth, enabling adaptation to diverse environmental oxygen levels.

Key Metabolic Pathways

Citrobacter freundii performs mixed acid fermentation under conditions, converting glucose into a mixture of organic acids and alcohols, including , , and , while also producing gas (CO₂ and H₂). This pathway allows the bacterium to generate without external electron acceptors, with typical product yields showing at approximately 18% of glucose carbon, at 17%, at 10%, and succinate at 13%, alongside and pyruvate. The presence of shifts the fermentation profile, reducing and production while increasing , reflecting adaptive regulation of fermentative enzymes. A hallmark of C. freundii is its ability to utilize citrate as a sole carbon source via the citrate lyase pathway, which cleaves citrate into oxaloacetate and under aerobic conditions. This process is facilitated by a encoding the citrate lyase subunits in , enabling efficient breakdown and integration into central carbon . The of this pathway involves repressors that ensure expression in response to citrate availability. C. freundii produces (H₂S) from through the action of cysteine desulfhydrase, an enzyme that decomposes L-cysteine into pyruvate, , and H₂S. This reaction is pyridoxal phosphate-dependent and results in a positive H₂S indicator in triple iron agar, distinguishing it from related species like . The enzyme's presence supports and is conserved across . As a facultative anaerobe, C. freundii employs a respiratory chain involving and for . Under conditions, it can utilize alternative electron acceptors such as . activity is oxygen-sensitive and supports when oxygen is limited.

Ecology and Distribution

Natural Habitats

Citrobacter freundii is a ubiquitous bacterium commonly found in various environmental reservoirs, including , freshwater bodies, and systems. It has been isolated from samples across diverse ecosystems, where it contributes to the natural microbial . In environments, particularly freshwater sources such as rivers and lakes, C. freundii persists as part of the coliform population, often indicating fecal . represents a major , with C. freundii comprising a notable proportion of in untreated wastewater, where it demonstrates resilience against disinfection processes like chlorination due to its association with protective or inherent resistance traits. Additionally, the bacterium is frequently detected in food sources contaminated by environmental or fecal matter, such as like and sprouts, as well as animal feces from various . Although less commonly reported, isolations from fruits and underscore its presence in agricultural products exposed to or . As a commensal , C. freundii inhabits the of humans and animals at low levels. In humans, it colonizes the intestines asymptomatically in a small percentage of individuals, serving as part of gut without causing in most cases. Similar low-level colonization occurs in animals, including and reptiles, where it is detected in fecal samples. This commensal association facilitates its transmission through fecal-oral routes, linking environmental and host reservoirs. The global distribution of C. freundii is , with isolations reported across continents, including , , and . Its , enabled by peritrichous flagella, aids in dispersal within these habitats, enhancing its adaptability to varied conditions.

Interactions in Ecosystems

Citrobacter freundii plays a symbiotic role in microbiomes by facilitating cycling through , often coupled with iron oxidation, which aids in transformation and potential remediation of contaminated environments. Strains such as PXL1 demonstrate the ability to reduce while oxidizing (II), contributing to processes that mitigate accumulation in and agricultural soils. This activity supports broader microbial consortia in maintaining by converting nitrates to less mobile forms, enhancing availability for in conditions. In competitive interactions, C. freundii produces that inhibit other , providing a defensive advantage in polymicrobial environments like the gut or . For instance, a heat-stable isolated from C. freundii exhibits broad-spectrum activity against , including pathogens such as . Additionally, C. freundii employs mediated by N-acyl homoserine lactones (s), enabling coordinated behaviors like regulation and development in response to . Strains like ST2 produce multiple AHL variants, influencing interspecies competition within biofilms. Biofilm formation by C. freundii occurs in diverse settings, including water distribution pipes where it contributes to biocorrosion, and plant roots where it promotes growth. In seawater environments, biofilms of C. freundii accelerate corrosion of aluminum alloys through metabolic byproducts like hydrogen sulfide from sulfate reduction. Conversely, in the rhizosphere, C. freundii forms beneficial biofilms that enhance plant growth promotion via nutrient solubilization and stress tolerance; for example, strain N51 isolated from wheat rhizosphere improves phosphorus uptake in host plants. The zoonotic potential of C. freundii involves transmission from to s, often via contaminated water sources linked to . products, including eggs and meat, serve as reservoirs, with multidrug-resistant strains spreading through fecal contamination of water supplies during farming or processing. This pathway underscores the bacterium's role in bridging animal and human ecosystems, posing risks in regions with poor .

Pathogenicity and Medical Importance

Associated Infections

Citrobacter freundii is an opportunistic that primarily causes infections in immunocompromised hosts, including neonates, the elderly, diabetics, and patients with underlying malignancies or hepatobiliary diseases. Approximately 85% of C. freundii infections are hospital-acquired (nosocomial), highlighting its role in healthcare-associated infections. These infections often occur in settings involving invasive procedures, such as catheterization or , and are uncommon overall, accounting for 0.8% of Gram-negative infections and 3–6% of isolates. Urinary tract infections (UTIs) represent the most frequent manifestation of C. freundii , comprising the majority of reported cases among hospitalized patients and particularly prevalent in catheter-associated settings. UTIs caused by Citrobacter species have been documented in 5–12% of bacterial isolates in adults, with increasing prevalence noted over time due to healthcare exposures. Systemic spread can lead to bacteremia, which is often secondary to urinary or intra-abdominal sources and carries a of up to 34% in nosocomial . In neonates, species, including C. freundii and particularly C. koseri, are associated with severe systemic infections, including and , which account for about 1.3% of neonatal meningitis cases and are linked to high mortality rates of 25–50%. in this population frequently progresses to brain abscesses. Pneumonia caused by C. freundii occurs predominantly in mechanically ventilated patients, contributing to in intensive care units. Outbreaks of C. freundii infections have been documented in neonatal intensive care units, including clusters of and , often linked to contaminated hospital environments or equipment. The bacterium is also part of normal gastrointestinal carriage in humans, serving as a potential for opportunistic infections.

Virulence Factors and Mechanisms

Citrobacter freundii employs several factors that facilitate its adherence to tissues, of epithelial cells, toxin-mediated damage, and evasion of immune responses, contributing to its opportunistic pathogenicity in humans and animals. These factors include adhesins for initial colonization, toxins that disrupt cell function, mechanisms for cellular , and structures that shield the bacterium from immune detection. While the bacterium is often commensal in the gut, expression of these factors in extraintestinal sites enables infections such as urinary tract infections and . Adhesins play a crucial role in the initial attachment of C. freundii to host epithelial surfaces. Type 1 fimbriae, encoded by the fim , mediate mannose-sensitive adhesion to epithelial cells, promoting colonization in the urinary tract and other mucosal sites. These fimbriae are assembled via the chaperone-usher pathway and are homologous to those in other , facilitating binding to mannosylated glycoproteins on host cells. Additionally, curli fimbriae, produced by the csg , contribute to adherence and biofilm formation on abiotic surfaces like medical devices. Toxins produced by C. freundii enhance its by causing direct and . Shiga-like toxins and heat-stable enterotoxins are key determinants in diarrhea-associated strains, disrupting intestinal epithelial integrity and fluid secretion. (LPS), the major component of the outer membrane, acts as an endotoxin that triggers severe inflammatory responses, including release leading to in susceptible hosts. The bacterium's invasive capabilities allow it to penetrate barriers, particularly in the urinary tract. C. freundii invades epithelial cells through mechanisms involving fimbrial-mediated entry and host cytoskeletal rearrangements, enabling intracellular replication and persistence. A Salmonella fim homologue in C. freundii directs this invasion into human and gut epithelial cell lines, mimicking enteropathogenic strategies. C. freundii also utilizes a type VI secretion system (T6SS) to deliver effector proteins into host cells and competing microbes, promoting , activation of the , and in macrophages, which aids in immune evasion and tissue damage during infection. Immune evasion strategies further bolster C. freundii's survival during infection. Capsular polysaccharides, including the Vi antigen, form a protective layer that masks surface antigens and inhibits by host immune cells. formation, facilitated by curli fimbriae and poly-β-1,6-N-acetyl-D-glucosamine (encoded by pgaABCD), allows persistence on indwelling devices and resistance to agents and immune clearance. As a motile, rod-shaped bacterium, C. freundii also uses flagella to navigate host environments and reach infection sites.

Antibiotic Resistance and Treatment

Resistance Profiles

Citrobacter freundii exhibits intrinsic resistance to and first-generation cephalosporins primarily due to the production of a chromosomal AmpC β-lactamase, which hydrolyzes these β-lactam antibiotics and is inducible under exposure to certain β-lactams. This mechanism is characteristic of several , including C. freundii, and contributes to baseline resistance without the need for acquisition. Acquired resistance in C. freundii has escalated, particularly through the production of extended-spectrum β-lactamases (ESBLs) such as CTX-M variants, with pooled prevalence around 22% (range 4-50%) in clinical isolates per recent . Multidrug-resistant (MDR) strains often carry carbapenemases like NDM-1, reported since 2010 with increasing prevalence in subsequent years, rendering them resistant to and complicating therapy in severe infections. Resistance to aminoglycosides is mediated by enzymes such as AAC(6')-Ib-cr, while fluoroquinolone resistance frequently involves mutations in the gyrA gene, such as substitutions in the quinolone resistance-determining region. A significant proportion of C. freundii isolates in settings exhibit MDR profiles, with rates around 30% in recent studies and higher in , where NDM-1-producing strains predominate in regions like and . As of 2025, extremely drug-resistant strains, such as ST257 isolates producing multiple carbapenemases, have been reported in , highlighting ongoing global dissemination. These patterns underscore the role of C. freundii in nosocomial infections, where resistance mechanisms amplify clinical challenges.

Clinical Management Strategies

The clinical management of Citrobacter freundii infections begins with empirical antibiotic selected based on the site of infection, patient risk factors, and local resistance patterns, typically involving third-generation cephalosporins such as ceftazidime or for mild to moderate cases, or like for severe infections such as bacteremia. However, due to the organism's potential to induce AmpC , leading to common resistance to beta-lactams, must be promptly adjusted according to testing results to avoid failure. Challenges in management include recurrence in urinary tract infections, with biofilm formation by C. freundii contributing to and persistence on indwelling devices. For bacteremia, —such as a paired with an like gentamicin—may be employed in critically ill patients to enhance efficacy and cover potential , though monotherapy with a is often sufficient once susceptibility is confirmed. Prevention strategies emphasize infection control measures in healthcare settings, including rigorous hand hygiene with alcohol-based sanitizers or and before and after patient contact, as well as meticulous care protocols such as aseptic insertion, daily review of necessity, and prompt removal to minimize device-related . Additionally, such as species have shown promise in reducing gut carriage of certain in animal models. The Infectious Diseases Society of America (IDSA) guidelines, updated in 2024, recommend de-escalation from broad-spectrum agents like to narrower options such as trimethoprim-sulfamethoxazole or fluoroquinolones once susceptibility is established and the patient is clinically stable, aiming to curb resistance development while ensuring effective source control.

Identification and Applications

Diagnostic Methods

The identification of Citrobacter freundii in clinical and environmental samples primarily relies on a combination of traditional biochemical tests, culture-based methods, molecular techniques, and serological approaches to ensure accurate differentiation from closely related such as Escherichia coli and Salmonella spp. Biochemical profiling is a of C. freundii diagnosis, with the pattern typically showing negative production, positive reaction, negative Voges-Proskauer test, and positive citrate utilization (--++), though and citrate results can vary across strains. (H₂S) production is also variable, observed in approximately 63% of strains on triple sugar iron agar. Commercial systems like the API 20E biochemical strip provide confirmatory identification by assessing 20 enzymatic and metabolic reactions, achieving approximately 90% accuracy for C. freundii among Gram-negative when combined with and tests. Culture-based isolation exploits C. freundii's growth characteristics on selective media; the bacterium forms pink to colorless colonies on due to delayed fermentation and can be further differentiated on (EMB) agar, where it produces flat, dark colonies without the metallic sheen typical of E. coli. These media, often supplemented with bile salts, inhibit Gram-positive organisms while supporting C. freundii proliferation at 37°C under aerobic conditions. Molecular methods offer rapid and specific detection, with 16S rRNA gene sequencing serving as a for phylogenetic confirmation, enabling species-level identification through comparison to reference databases like NCBI . (PCR) assays targeting genus-specific regions, such as those developed for detection and quantification, provide sensitivity down to 10³ CFU/mL in complex samples. Matrix-assisted laser desorption/ionization (MALDI-TOF ) has emerged as a frontline tool in clinical labs, correctly identifying 95% of C. freundii isolates within minutes by comparing protein spectra to libraries like or VITEK MS. Serotyping targets the O-antigen for epidemiological tracking, with C. freundii encompassing multiple serogroups within the broader scheme of 43 O-groups, though reclassification has reassigned many to related species like C. youngae and C. braakii. Slide with O-specific antisera remains the traditional method, aiding in outbreak investigations despite challenges.

Biotechnological and Research Uses

Citrobacter freundii has demonstrated significant potential in , particularly through its ability to sequester from via metabolic processes involving precipitation. The bacterium's enzyme facilitates the of organic phosphates, leading to the formation of insoluble uranium complexes that immobilize the metal, with studies showing up to 90% uranium removal efficiency under optimized conditions. This mechanism has been explored in recent investigations, including a 2022 review highlighting its application in treating uranium-contaminated effluents from and sites. Additionally, C. freundii strains have been effective in bioaccumulating other like . In , engineered Citrobacter freundii strains have been developed for production through dark of organic substrates such as and glucose. Optimization of culture conditions, including control around 6.5 and supplementation with iron, has yielded rates of up to 1.2 mol H₂/mol glucose, making it a promising candidate for applications. Furthermore, certain C. freundii isolates exhibit probiotic-like antagonistic activity against pathogens, producing and that inhibit growth of like Aeromonas hydrophila in vitro, suggesting potential in competitive exclusion strategies for or gut health modulation. As a research model, C. freundii is utilized in studies due to its production of N-acyl homoserine lactone () signal molecules, such as C4-HSL and C8-HSL, which regulate formation and . with / has enabled precise modifications in C. freundii, including gene knockouts to investigate resistance , with successful editing efficiencies reported in the type strain ATCC 8090, facilitating studies on and mutation rates in resistance pathways. Industrially, C. freundii serves as a source for production, particularly overexpressing strains that yield high levels of AmpC β-lactamases for research purposes, such as assays for development and resistance mechanism elucidation. These , when constitutively expressed via in regulatory genes like ampR, provide a model for studying β-lactam , with production levels enhanced up to 100-fold in derepressed mutants.