Dortet Laurent, Poirel Laurent, Abbas Samia, Oueslati Saoussen, Nordmann Patrice
Associated National Reference Center for Antibiotic Resistance, Le Kremlin-Bicêtre, France Faculty of Medicine, South Paris University, Le Kremlin-Bicêtre, France Bacteriology-Hygiene Unit, Hospital Bicêtre, Assistance Publique/Hôpitaux de Paris, and INSERM U914, Le Kremlin-Bicêtre, France.
Associated National Reference Center for Antibiotic Resistance, Le Kremlin-Bicêtre, France Faculty of Medicine, South Paris University, Le Kremlin-Bicêtre, France Bacteriology-Hygiene Unit, Hospital Bicêtre, Assistance Publique/Hôpitaux de Paris, and INSERM U914, Le Kremlin-Bicêtre, France Emerging Antibiotic Resistance Unit, Medical and Molecular Microbiology, Department of Medicine, University of Fribourg, Fribourg, Switzerland.
Antimicrob Agents Chemother. 2015 Dec;59(12):7420-5. doi: 10.1128/AAC.01636-15. Epub 2015 Sep 21.
An Enterobacter cloacae isolate was recovered from a rectal swab from a patient hospitalized in France with previous travel to Switzerland. It was resistant to penicillins, narrow- and broad-spectrum cephalosporins, aztreonam, and carbapenems but remained susceptible to expanded-spectrum cephalosporins. Whereas PCR-based identification of the most common carbapenemase genes failed, the biochemical Carba NP test II identified an Ambler class A carbapenemase. Cloning experiments followed by sequencing identified a gene encoding a totally novel class A carbapenemase, FRI-1, sharing 51 to 55% amino acid sequence identity with the closest carbapenemase sequences. However, it shared conserved residues as a source of carbapenemase activity. Purified β-lactamase FRI-1 hydrolyzed penicillins, aztreonam, and carbapenems but spared expanded-spectrum cephalosporins. The 50% inhibitory concentrations (IC50s) of clavulanic acid and tazobactam were 10-fold higher than those found for Klebsiella pneumoniae carbapenemase (KPC), IMI, and SME, leading to lower sensitivity of FRI-1 activity to β-lactamase inhibitors. The blaFRI-1 gene was located on a ca. 110-kb untypeable, transferable, and non-self-conjugative plasmid. A putative LysR family regulator-encoding gene at the 5' end of the β-lactamase gene was identified, leading to inducible expression of the blaFRI-1 gene.
从一名曾前往瑞士、现住院于法国的患者直肠拭子中分离出一株阴沟肠杆菌。该菌株对青霉素、窄谱和广谱头孢菌素、氨曲南及碳青霉烯类耐药,但对超广谱头孢菌素仍敏感。基于聚合酶链反应(PCR)对最常见碳青霉烯酶基因的鉴定失败,但生化Carba NP试验II鉴定出一种安布勒A类碳青霉烯酶。克隆实验及随后的测序鉴定出一个编码全新A类碳青霉烯酶FRI-1的基因,该基因与最接近的碳青霉烯酶序列的氨基酸序列同一性为51%至55%。然而,它具有作为碳青霉烯酶活性来源的保守残基。纯化的β-内酰胺酶FRI-1可水解青霉素、氨曲南和碳青霉烯类,但对超广谱头孢菌素无作用。克拉维酸和他唑巴坦的50%抑制浓度(IC50)比肺炎克雷伯菌碳青霉烯酶(KPC)、IMI和SME高10倍,导致FRI-1活性对β-内酰胺酶抑制剂的敏感性较低。blaFRI-1基因位于一个约110kb的不可分型、可转移且非自我接合的质粒上。在β-内酰胺酶基因5'端鉴定出一个推定的赖氨酸R家族调节因子编码基因,导致blaFRI-1基因的诱导表达。