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在 SHV 家族β-内酰胺酶的位置 105 发生取代会降低催化效率并导致抑制剂耐药性。

Substitutions at position 105 in SHV family β-lactamases decrease catalytic efficiency and cause inhibitor resistance.

机构信息

Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

出版信息

Antimicrob Agents Chemother. 2012 Nov;56(11):5678-86. doi: 10.1128/AAC.00711-12. Epub 2012 Aug 20.

Abstract

Ambler position 105 in class A β-lactamases is implicated in resistance to clavulanic acid, although no clinical isolates with mutations at this site have been reported. We hypothesized that Y105 is important in resistance to clavulanic acid because changes in positioning of the inhibitor for ring oxygen protonation could occur. In addition, resistance to bicyclic 6-methylidene penems, which are interesting structural probes that inhibit all classes of serine β-lactamases with nanomolar affinity, might emerge with substitutions at position 105, especially with nonaromatic substitutions. All 19 variants of SHV-1 with variations at position 105 were prepared. Antimicrobial susceptibility testing showed that Escherichia coli DH10B expressing Y105 variants retained activity against ampicillin, except for the Y105L variant, which was susceptible to all β-lactams, similar to the case for the host control strain. Several variants had elevated MICs to ampicillin-clavulanate. However, all the variants remained susceptible to piperacillin in combination with a penem inhibitor (MIC, ≤2/4 mg/liter). The Y105E, -F, -M, and -R variants demonstrated reduced catalytic efficiency toward ampicillin compared to the wild-type (WT) enzyme, which was caused by increased K(m). Clavulanic acid and penem K(i) values were also increased for some of the variants, especially Y105E. Mutagenesis at position 105 in SHV yields mutants resistant to clavulanate with reduced catalytic efficiency for ampicillin and nitrocefin, similar to the case for the class A carbapenemase KPC-2. Our modeling analyses suggest that resistance is due to oxyanion hole distortion. Susceptibility to a penem inhibitor is retained although affinity is decreased, especially for the Y105E variant. Residue 105 is important to consider when designing new inhibitors.

摘要

Ambler 位置 105 在 A 类β-内酰胺酶中与克拉维酸耐药性有关,尽管尚未报道该位点发生突变的临床分离株。我们假设 Y105 在克拉维酸耐药性中很重要,因为抑制剂的环氧质子化位置的变化可能会发生。此外,对双环 6-亚甲基青霉烯的耐药性可能会出现,因为这些结构探针可以以纳摩尔亲和力抑制所有类别的丝氨酸β-内酰胺酶,特别是非芳香取代基。制备了 19 种 SHV-1 变体,其位置 105 发生了变异。抗菌敏感性测试表明,表达 Y105 变体的大肠杆菌 DH10B 保留了对氨苄西林的活性,除了 Y105L 变体,它对所有β-内酰胺类药物均敏感,与宿主对照株的情况相似。几种变体对氨苄西林-克拉维酸的 MIC 升高。然而,所有变体对哌拉西林与青霉烯抑制剂的组合仍然敏感(MIC≤2/4mg/L)。与野生型(WT)酶相比,Y105E、-F、-M 和 -R 变体对氨苄西林的催化效率降低,这是由于 K(m)增加所致。一些变体的克拉维酸和青霉烯 K(i)值也增加,尤其是 Y105E。SHV 中的位置 105 发生突变会产生对克拉维酸耐药的突变体,其对氨苄西林和硝噻吩的催化效率降低,与 A 类碳青霉烯酶 KPC-2 的情况相似。我们的建模分析表明,耐药性是由于氧阴离子孔变形所致。尽管亲和力降低,但对青霉烯抑制剂的敏感性仍然保留,尤其是 Y105E 变体。当设计新的抑制剂时,需要考虑残基 105。

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