Nadjar D, Labia R, Cerceau C, Bizet C, Philippon A, Arlet G
Laboratoire de Bactériologie, Hôpital Tenon, UFR Saint-Antoine, Paris, France.
Antimicrob Agents Chemother. 2001 Aug;45(8):2324-30. doi: 10.1128/AAC.45.8.2324-2330.2001.
Ochrobactrum anthropi, formerly known as CDC group Vd, is an oxidase-producing, gram-negative, obligately aerobic, non-lactose-fermenting bacillus of low virulence that occasionally causes human infections. It is highly resistant to all beta-lactams except imipenem. A clinical isolate, SLO74, and six reference strains were tested. MICs of penicillins, aztreonam, and most cephalosporins tested, including cefotaxime and ceftazidime, were >128 microg/ml and of cefepime were 64 to >128 microg/ml. Clavulanic acid was ineffective and tazobactam had a weak effect in association with piperacillin. Two genes, ampR and ampC, were cloned by inserting restriction fragments of genomic DNA from the clinical strain O. anthropi SLO74 into pBK-CMV to give the recombinant plasmid pBK-OA1. The pattern of resistance to beta-lactams of this clone was similar to that of the parental strain, except for its resistance to cefepime (MIC, 0.5 ,micro/ml). The deduced amino acid sequence of the AmpC beta-lactamase (pI, 8.9) was only 41 to 52% identical to the sequence of other chromosomally encoded and plasmid-encoded class C beta-lactamases. The kinetic properties of this beta-lactamase were typical for this class of beta-lactamases. Upstream from the ampC gene, the ampR gene encodes a protein with a sequence that is 46 to 62% identical to those of other AmpR proteins and with an amino-terminal DNA-binding domain typical of transcriptional activators of the Lys-R family. The deduced amino acid sequences of the ampC genes of the six reference strains were 96 to 99% identical to the sequence of the clinical strain. The beta-lactamase characterized from strain SLO74 was named OCH-1 (gene, bla(OCH-I)).
嗜水气单胞菌,以前称为CDC Vd组,是一种产氧化酶、革兰氏阴性、专性需氧、不发酵乳糖的低毒力杆菌,偶尔会引起人类感染。除亚胺培南外,它对所有β-内酰胺类药物都具有高度抗性。对一株临床分离株SLO74和六株参考菌株进行了测试。所测试的青霉素、氨曲南和大多数头孢菌素(包括头孢噻肟和头孢他啶)的最低抑菌浓度(MIC)>128μg/ml,头孢吡肟的MIC为64至>128μg/ml。克拉维酸无效,他唑巴坦与哌拉西林联合使用时效果较弱。通过将嗜水气单胞菌临床菌株SLO74的基因组DNA限制性片段插入pBK-CMV中,克隆了两个基因ampR和ampC,得到重组质粒pBK-OA1。该克隆对β-内酰胺类药物的耐药模式与亲本菌株相似,只是对头孢吡肟有抗性(MIC,0.5μg/ml)。AmpCβ-内酰胺酶(pI,8.9)的推导氨基酸序列与其他染色体编码和质粒编码的C类β-内酰胺酶序列的同一性仅为41%至52%。这种β-内酰胺酶的动力学特性是这类β-内酰胺酶的典型特性。在ampC基因上游,ampR基因编码一种蛋白质,其序列与其他AmpR蛋白的序列同一性为46%至62%,并且具有Lys-R家族转录激活因子典型的氨基末端DNA结合结构域。六株参考菌株的ampC基因推导氨基酸序列与临床菌株的序列同一性为96%至99%。从菌株SLO74中鉴定出的β-内酰胺酶命名为OCH-1(基因,bla(OCH-I))。