Hujer Kristine M, Hamza Nashaat S, Hujer Andrea M, Perez Federico, Helfand Marion S, Bethel Christopher R, Thomson Jodi M, Anderson Vernon E, Barlow Miriam, Rice Louis B, Tenover Fred C, Bonomo Robert A
Research Service, Louis Stokes Cleveland Veterans Affairs Medical Center, Case School of Medicine, 10701 East Blvd., Cleveland, Ohio 44016, USA.
Antimicrob Agents Chemother. 2005 Jul;49(7):2941-8. doi: 10.1128/AAC.49.7.2941-2948.2005.
Acinetobacter spp. are emerging as opportunistic hospital pathogens that demonstrate resistance to many classes of antibiotics. In a metropolitan hospital in Cleveland, a clinical isolate of Acinetobacter baumannii that tested resistant to cefepime and ceftazidime (MIC = 32 microg/ml) was identified. Herein, we sought to determine the molecular basis for the extended-spectrum-cephalosporin resistance. Using analytical isoelectric focusing, a beta-lactamase with a pI of > or = 9.2 was detected. PCR amplification with specific A. baumannii cephalosporinase primers yielded a 1,152-bp product which, when sequenced, identified a novel 383-amino-acid class C enzyme. Expressed in Escherichia coli DH10B, this beta-lactamase demonstrated greater resistance against ceftazidime and cefotaxime than cefepime (4.0 microg/ml versus 0.06 microg/ml). The kinetic characteristics of this beta-lactamase were similar to other cephalosporinases found in Acinetobacter spp. In addition, this cephalosporinase was inhibited by meropenem, imipenem, ertapenem, and sulopenem (K(i) < 40 microM). The amino acid compositions of this novel enzyme and other class C beta-lactamases thus far described for A. baumannii, Acinetobacter genomic species 3, and Oligella urethralis in Europe and South Africa suggest that this cephalosporinase defines a unique family of class C enzymes. We propose a uniform designation for this family of cephalosporinases (Acinetobacter-derived cephalosporinases [ADC]) found in Acinetobacter spp. and identify this enzyme as ADC-7 beta-lactamase. The coalescence of Acinetobacter ampC beta-lactamases into a single common ancestor and the substantial phylogenetic distance separating them from other ampC genes support the logical value of developing a system of nomenclature for these Acinetobacter cephalosporinase genes.
不动杆菌属正逐渐成为对多种抗生素具有耐药性的医院机会致病菌。在克利夫兰的一家都市医院,鉴定出一株对头孢吡肟和头孢他啶耐药(MIC = 32微克/毫升)的鲍曼不动杆菌临床分离株。在此,我们试图确定其对超广谱头孢菌素耐药的分子基础。通过分析等电聚焦,检测到一种pI≥9.2的β-内酰胺酶。用鲍曼不动杆菌特异性头孢菌素酶引物进行PCR扩增,得到一个1152碱基对的产物,测序后鉴定出一种新的383个氨基酸的C类酶。在大肠杆菌DH10B中表达时,这种β-内酰胺酶对头孢他啶和头孢噻肟的耐药性比对头孢吡肟更强(4.0微克/毫升对0.06微克/毫升)。这种β-内酰胺酶的动力学特征与不动杆菌属中发现的其他头孢菌素酶相似。此外,这种头孢菌素酶被美罗培南、亚胺培南、厄他培南和舒洛培南抑制(K(i)<40微摩尔)。这种新酶与欧洲和南非迄今为止描述的鲍曼不动杆菌、不动杆菌基因组种3和尿道寡源杆菌的其他C类β-内酰胺酶的氨基酸组成表明,这种头孢菌素酶定义了一个独特的C类酶家族。我们为在不动杆菌属中发现的这类头孢菌素酶(不动杆菌衍生的头孢菌素酶[ADC])提出了一个统一的命名,并将这种酶鉴定为ADC-7β-内酰胺酶。不动杆菌ampCβ-内酰胺酶聚合成一个共同祖先,且它们与其他ampC基因之间存在较大的系统发育距离,这支持了为这些不动杆菌头孢菌素酶基因建立命名系统的逻辑价值。