Helfand Marion S, Taracila Magdalena A, Totir Monica A, Bonomo Robert A, Buynak John D, van den Akker Focco, Carey Paul R
Research Service and Infectious Diseases Section, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH 44106, USA.
Biochemistry. 2007 Jul 24;46(29):8689-99. doi: 10.1021/bi700581q. Epub 2007 Jun 27.
Antibiotic resistance to beta-lactam compounds in Gram-negative bacteria such as Escherichia coli and Klebsiella pneumoniae is often mediated by beta-lactamase enzymes like TEM and SHV. Previously, a limited number of inhibitors have shown efficacy in combating such bacterial drug resistance. However, many Gram-negative pathogens have evolved inhibitor resistant forms of these hydrolytic enzymes. A single point mutation of the active site residue Ser130 to a Gly in either TEM or SHV results in resistance to amoxicillin and clavulanic acid, an important clinical beta-lactam-beta-lactamase inhibitor combination antibiotic. Previous structural and modeling studies of the S130G mutants of TEM and SHV have shown differences in how these two distinct but closely related enzymes compensate for the loss of the Ser130 residue. In the case of S130G SHV, a structure of tazobactam in the active site has suggested that the inhibitor preferentially assumes a cis-enamine intermediate form when the Ser130 hydroxyl is absent. Raman crystallographic studies of S130G SHV inhibited with tazobactam, sulbactam, clavulanic acid, and 2'-glutaroxy penem sulfone (SA2-13) were performed with the aim of identifying the type and amount of intermediate formed with each drug to understand the role of the S130G mutation in formation of the important enamine intermediates. It is demonstrated that with the exception of sulbactam, each compound forms observable trans-enamine intermediates. For S130G reacted with tazobactam, identical steady state levels of enamine are achieved when compared to those of wild-type (WT) or even deacylation deficient forms of the enzyme. With clavulanic acid, slightly smaller amounts of enamine are observed within the first 30 min of the reaction but are not significantly different than those for tazobactam. Thus, the resistance mutation does not substantially affect the amount of trans-enamine formed with clavulanic acid during the critical early time period of inhibition. This finding has important implications in the design of beta-lactamase inhibitors for drug resistant variants like S130G SHV.
革兰氏阴性菌(如大肠杆菌和肺炎克雷伯菌)对β-内酰胺类化合物的抗生素耐药性通常由TEM和SHV等β-内酰胺酶介导。以前,有限数量的抑制剂已显示出对抗此类细菌耐药性的功效。然而,许多革兰氏阴性病原体已经进化出对这些水解酶具有抗性的抑制剂形式。TEM或SHV中活性位点残基Ser130单点突变为甘氨酸会导致对阿莫西林和克拉维酸产生抗性,阿莫西林和克拉维酸是一种重要的临床β-内酰胺-β-内酰胺酶抑制剂组合抗生素。先前对TEM和SHV的S130G突变体的结构和建模研究表明,这两种不同但密切相关的酶在补偿Ser130残基缺失的方式上存在差异。就S130G SHV而言,活性位点中他唑巴坦的结构表明,当Ser130羟基不存在时,抑制剂优先呈现顺式烯胺中间体形式。对用他唑巴坦、舒巴坦、克拉维酸和2'-戊二氧基青霉烯砜(SA2-13)抑制的S130G SHV进行拉曼晶体学研究,目的是确定每种药物形成的中间体的类型和数量,以了解S130G突变在重要烯胺中间体形成中的作用。结果表明,除舒巴坦外,每种化合物都会形成可观察到的反式烯胺中间体。对于与他唑巴坦反应的S130G,与野生型(WT)甚至酶的脱酰基缺陷形式相比,可实现相同的烯胺稳态水平。对于克拉维酸,在反应的前30分钟内观察到的烯胺量略少,但与他唑巴坦的烯胺量没有显著差异。因此,耐药性突变在抑制的关键早期阶段不会实质性影响与克拉维酸形成的反式烯胺的量。这一发现对设计针对S130G SHV等耐药变体的β-内酰胺酶抑制剂具有重要意义。