Mercuri Paola Sandra, Ishii Yoshikazu, Ma Ling, Rossolini Gian Maria, Luzzaro Francesco, Amicosante Gianfranco, Franceschini Nicola, Frere Jean-Marie, Galleni Moreno
Centre d'Ingénierie des Protéines, Université de Liege, Belgium.
Microb Drug Resist. 2002 Fall;8(3):193-200. doi: 10.1089/107662902760326904.
Stenotrophomonas maltophilia is a nosocomial pathogen with an intrinsic broad-spectrum resistance to beta-lactam compounds and other antibacterial agents. It produces two chromosomal beta-lactamases: a clavulanic acid-sensitive class A (L2) and a tetrameric carbapenemase (L1 or BlaS). We screened 40 S. maltophilia multidrug-resistant clinical isolates recovered between 1995 and 1998 in the Varese Hospital (Italy) for the presence of the metallo-beta-lactamase. The isolates were investigated by phenotypic profiling (enzymatic activity and antibiotic resistance pattern) and molecular methods such as PCR and pulsed-field gel electrophoresis (PFGE) to reveal intraspecies diversity. For the tested S. maltophilia strains, we showed that the beta-lactamase production could be induced by the presence of imipenem (50 microg/ml) in the culture media. Addition of 1 mM dipicolinic acid completely inhibited the hydrolysis of imipenem but decreased that nitrocefin in a strain-dependent manner. Full activity of crude extract towards imipenem could be restored by addition of 1 mM ZnCl2. Finally, the gene encoding the carbapenem-hydrolyzing beta-lactamase from S. maltophilia ULA-511 and 39/95, a clinical strain, were isolated and sequenced. These two strains have a different profile of multidrug resistance. The two metallo-beta-lactamases were found to be isologous. The difference of sensitivity of these two strains was associated to the level of production of the metallo-beta-lactamase.
嗜麦芽窄食单胞菌是一种医院病原菌,对β-内酰胺类化合物和其他抗菌药物具有内在的广谱耐药性。它产生两种染色体β-内酰胺酶:一种对克拉维酸敏感的A类(L2)和一种四聚体碳青霉烯酶(L1或BlaS)。我们对1995年至1998年间在意大利瓦雷泽医院分离出的40株嗜麦芽窄食单胞菌多重耐药临床分离株进行筛选,以检测金属β-内酰胺酶的存在。通过表型分析(酶活性和抗生素耐药模式)以及PCR和脉冲场凝胶电泳(PFGE)等分子方法对分离株进行研究,以揭示种内多样性。对于所测试的嗜麦芽窄食单胞菌菌株,我们发现培养基中存在亚胺培南(50微克/毫升)可诱导β-内酰胺酶的产生。添加1毫摩尔二吡啶甲酸可完全抑制亚胺培南的水解,但以菌株依赖的方式降低了头孢硝噻吩的水解。添加1毫摩尔氯化锌可恢复粗提物对亚胺培南的全部活性。最后,从嗜麦芽窄食单胞菌ULA-511和一株临床菌株39/95中分离并测序了编码碳青霉烯水解β-内酰胺酶的基因。这两株菌株具有不同的多重耐药谱。发现这两种金属β-内酰胺酶是同源的。这两株菌株敏感性的差异与金属β-内酰胺酶的产生水平有关。