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负责脑膜炎败血金黄杆菌(黄杆菌属)中对超广谱头孢菌素耐药的安布勒A类β-内酰胺酶CME-2的遗传生化分析及分布情况

Genetic-biochemical analysis and distribution of the Ambler class A beta-lactamase CME-2, responsible for extended-spectrum cephalosporin resistance in Chryseobacterium (Flavobacterium) meningosepticum.

作者信息

Bellais S, Poirel L, Naas T, Girlich D, Nordmann P

机构信息

Service de Bactériologie-Virologie, Hôpital de Bicêtre, Assistance Publique/Hôpitaux de Paris, Faculté de Médecine Paris-Sud, 94275 Le Kremlin-Bicêtre Cédex, France.

出版信息

Antimicrob Agents Chemother. 2000 Jan;44(1):1-9. doi: 10.1128/AAC.44.1.1-9.2000.

Abstract

In vitro synergy between extended-spectrum cephalosporins and either clavulanic acid or cefoxitin was found for Chryseobacterium meningosepticum isolates during a double-disk assay on an agar plate. An extended-spectrum beta-lactamase (ESBL) gene from a C. meningosepticum clinical isolate was cloned and expressed in Escherichia coli DH10B. Its protein conferred resistance to most beta-lactams including extended-spectrum cephalosporins but not to cephamycins or to imipenem. Its activity was strongly inhibited by clavulanic acid, sulbactam, and tazobactam, as well as by cephamycins and imipenem. Sequence analysis of the cloned DNA fragment revealed an open reading frame (ORF) of 891 bp with a G+C content of 33.9%, which lies close to the expected range of G+C contents of members of the Chryseobacterium genus. The ORF encoded a precursor protein of 297 amino acids, giving a mature protein with a molecular mass of 31 kDa and a pI value of 9.2 in E. coli. This gene was very likely chromosomally located. Amino acid sequence comparison showed that this beta-lactamase, named CME-2 (C. meningosepticum ESBL), is a novel ESBL of the Ambler class A group (Bush functional group 2be), being weakly related to other class A beta-lactamases. It shares only 39 and 35% identities with the ESBLs VEB-1 from E. coli MG-1 and CBL-A from Bacteroides uniformis, respectively. The distribution of bla(CME-2) among unrelated C. meningosepticum species isolates showed that bla(CME-2)-like genes were found in the C. meningosepticum strains studied but were absent from strains of other C. meningosepticum-related species. Each C. meningosepticum strain produced at least two beta-lactamases, with one of them being a noninducible serine ESBL with variable pIs ranging from 7.0 to 8.5.

摘要

在琼脂平板上进行双纸片扩散试验时,发现广谱头孢菌素与克拉维酸或头孢西丁对脑膜炎败血金黄杆菌分离株具有体外协同作用。从一株脑膜炎败血金黄杆菌临床分离株中克隆了一个广谱β-内酰胺酶(ESBL)基因,并在大肠杆菌DH10B中表达。其蛋白对包括广谱头孢菌素在内的大多数β-内酰胺类抗生素具有耐药性,但对头孢霉素类或亚胺培南不耐药。其活性受到克拉维酸、舒巴坦和他唑巴坦的强烈抑制,也受到头孢霉素类和亚胺培南的抑制。对克隆的DNA片段进行序列分析,发现一个891 bp的开放阅读框(ORF),G+C含量为33.9%,接近脑膜炎败血金黄杆菌属成员预期的G+C含量范围。该ORF编码一个297个氨基酸的前体蛋白,在大肠杆菌中产生一个分子量为31 kDa、pI值为9.2的成熟蛋白。该基因很可能位于染色体上。氨基酸序列比较表明,这种β-内酰胺酶名为CME-2(脑膜炎败血金黄杆菌ESBL),是Ambler A类群的一种新型ESBL(Bush功能群2be),与其他A类β-内酰胺酶的关系较弱。它与大肠杆菌MG-1的ESBL VEB-1和单形拟杆菌的CBL-A的同一性分别仅为39%和35%。bla(CME-2)在不相关的脑膜炎败血金黄杆菌菌株中的分布表明,在所研究的脑膜炎败血金黄杆菌菌株中发现了bla(CME-2)样基因,但在其他与脑膜炎败血金黄杆菌相关的菌株中未发现。每株脑膜炎败血金黄杆菌至少产生两种β-内酰胺酶,其中一种是不可诱导的丝氨酸ESBL,其pI值在7.0至8.5之间变化。

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