OBJECTIVES:To characterize the naturally occurring expanded-spectrum beta-lactamase from an Escherichia coli clinical isolate and to compare it with a wild-type beta-lactamase. METHODS:The chromosome-borne ampC genes from E. coli BER and E. coli EC2 were PCR amplified, sequenced and cloned into an expression vector. Antimicrobial susceptibilities of the parental isolate and the recombinant strains were determined by agar dilution methods. Kinetic parameters were determined from purified AmpC BER and AmpC EC2. RESULTS:AmpC BER was overexpressed in its original clinical isolate because of mutations in the promoter region of its gene at positions -42 and -18. The analysis of the ampC coding sequence revealed a 6 bp insertion when compared with the wild-type sequence leading to the tandem duplication of two alanine residues inside the H-10 helix. AmpC BER-producing recombinants were resistant to ceftazidime, had reduced susceptibility to other oxyiminocephalosporins (cefotaxime and cefepime), but had a greater susceptibility to cefoxitin when compared with the recombinant expressing the wild-type beta-lactamase AmpC EC2. The affinity of AmpC BER for cephalosporins and imipenem was increased, whereas the hydrolysis rate was decreased for all these compounds. In addition, the IC50 values of clavulanic acid and tazobactam for AmpC BER were increased. CONCLUSIONS:This work sheds new light on structure-function relationships of expanded-spectrum AmpC beta-lactamases.

译文

目的:鉴定来自大肠杆菌临床分离株的天然存在的广谱β-内酰胺酶,并将其与野生型β-内酰胺酶进行比较。
方法:PCR扩增来自大肠杆菌BER和大肠杆菌EC2的染色体传播的ampC基因,测序并克隆到表达载体中。通过琼脂稀释法测定亲本分离株和重组菌株的抗药性。动力学参数由纯化的AmpC BER和AmpC EC2确定。
结果:AmpC BER在其原始临床分离株中过表达,因为其基因的启动子区域位于-42和-18位。 ampC编码序列的分析显示,与野生型序列相比,插入了6 bp,导致H-10螺旋内部两个丙氨酸残基串联重复。与表达野生型β-内酰胺酶AmpC EC2的重组体相比,产生AmpC BER的重组体对头孢他啶具有抗性,对其他氧亚氨基头孢菌素(头孢噻肟和头孢吡肟)的敏感性降低,但对头孢西丁的敏感性更高。 AmpC BER对头孢菌素和亚胺培南的亲和力增加,而所有这些化合物的水解速率均降低。此外,棒酸和他唑巴坦对AmpC BER的IC50值增加。
结论:这项工作为广谱AmpCβ-内酰胺酶的结构-功能关系提供了新的思路。

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