Korfmann G, Wiedemann B
Institut für Medizinische Mikrobiologie und Immunologie, Universität Bonn, Federal Republic of Germany.
Rev Infect Dis. 1988 Jul-Aug;10(4):793-9. doi: 10.1093/clinids/10.4.793.
In Enterobacter cloacae, mutations in favor of overproduction of beta-lactamase--leading to resistance to third-generation cephalosporins--occur at frequencies of 10(-4)-10(-7). Cloning experiments reveal that at least three genes are involved in the regulation of chromosomal beta-lactamase expression. The structural gene, ampC, is located adjacent to the regulatory gene, ampR, coding for a protein that can serve as an activator in the presence of an inducer. An example of an ampR mutant that is independent of an inducer has been studied. More important for the development of cefotaxime resistance in E. cloacae are mutations in the ampD gene and other proposed regulatory genes. Inactivation of the ampD gene leads to elevated beta-lactamase production. Thus, ampD negatively controls ampC expression. Evidence for the existence of a third regulatory gene, ampE, has been found.
在阴沟肠杆菌中,有利于β-内酰胺酶过量产生(从而导致对第三代头孢菌素耐药)的突变发生频率为10⁻⁴ - 10⁻⁷。克隆实验表明,至少有三个基因参与染色体β-内酰胺酶表达的调控。结构基因ampC位于调控基因ampR附近,ampR编码一种蛋白质,在诱导剂存在时可作为激活剂。已对一种不依赖诱导剂的ampR突变体进行了研究。对于阴沟肠杆菌中头孢噻肟耐药性的发展更重要的是ampD基因和其他提出的调控基因中的突变。ampD基因失活会导致β-内酰胺酶产生增加。因此,ampD对ampC表达起负调控作用。已发现存在第三个调控基因ampE的证据。