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Antimicrobial Agents and Chemotherapy, December 1999, p. 2960-2963, Vol. 43, No. 12
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Automated Thermal Cycling Is Superior to
Traditional Methods for Nucleotide Sequencing of
blaSHV Genes
Patricia A.
Bradford*
Infectious Disease Discovery Research,
Wyeth-Ayerst Research, Pearl River, New York 10965
Received 10 May 1999/Returned for modification 22 July
1999/Accepted 21 September 1999
 |
ABSTRACT |
Genes encoding SHV-1 and SHV-2 were sequenced by different methods.
Nucleotide sequencing of the coding strand by standard dideoxy-chain
termination methods resulted in errors in the interpretation of the
nucleotide sequence and the derived amino acid sequence in two main
regions which corresponded to nucleotide and amino acid changes that
had been reported previously. The automated thermal cycling method was
clearly superior and consistently resulted in the correct sequences for
these genes.
 |
INTRODUCTION |
SHV
-lactamases confer resistance
to a broad spectrum of
-lactam antibiotics and are of great
therapeutic concern for infections caused by many species of the family
Enterobacteriaceae. SHV-1, the original member of the SHV
-lactamase family, is present in most strains of Klebsiella
pneumoniae and may be either chromosomally or plasmid mediated. A
plasmid-mediated SHV-1 is also commonly found in Escherichia
coli and is seen in other genera as well. The first
extended-spectrum
-lactamase to be described was an SHV-type enzyme
that differed from the SHV-1 amino acid sequence by a single residue
and was subsequently designated SHV-2 (10). Since that time,
at least 12 SHV-type derivatives have been described. The various
derivatives of SHV-type
-lactamases differ from SHV-1 by amino acid
substitutions at only a few amino acid residues (Table
1). From the beginning of the study of
the SHV-type enzymes, there has been confusion about the amino acid
sequence of some of the SHV derivatives. There have been a number of
sequences reported that have amino acid deletions or additions in
portions of the SHV protein that are usually conserved (11, 17,
18). In addition, the amino acid sequence derived from the
nucleotide sequence published by Mercier et al. for SHV-1 differs from
those that were obtained by direct amino acid sequencing of the protein (4).
During a previous sequencing project involving an SHV-type
extended-spectrum
-lactamase, it was noted that when nucleotide sequencing was performed by traditional dideoxy-chain termination methods, the sequencing gels contained a large number of areas of
compressions that were difficult to read (7). It was
observed that some of these compressions occurred in the exact
locations where the amino acid additions or deletions had been reported previously by other investigators. It was theorized that the confusion among various blaSHV sequences occurred because
of the difficulty in interpretation of the DNA sequence. Therefore, a
study was done to attempt to resolve the differences seen with the
various reported sequences of SHV derivatives and to evaluate the
sequencing methodologies.
 |
MATERIALS AND METHODS |
Bacterial strains.
The bacterial strain used for the
sequencing of SHV-1 by traditional dideoxy-chain termination methods
was E. coli DH5
(pCLL3411) (7). The strains
used for automated thermal cycle sequencing were PCR clones generated
from E. coli HB101(pMON 38) expressing SHV-1 (11)
and JC2926(pBP60-1) expressing SHV-2 (10) (kindly provided
by George A. Jacoby.)
Nucleic acid techniques.
To generate the clones used in the
thermal cycling experiments, the SHV genes were first amplified by PCR
by standard methods (20). The primers used were as follows:
forward, 5'GTATTGAATTCATGCGTTATATTCGCCTGTGTA3'; and reverse,
5'CAGAATTCGGCTAGCGTTGCCAGTGCTCGAT3'. The primers were
designed to flank the start and stop codons of the
blaSHV-1 gene to amplify the entire coding
region. The resulting PCR products were cloned into pCR 2.1-TOPO by
using the TOPO TA cloning kit (Invitrogen, Carlsbad, Calif.). Clones
from three independent PCRs were generated and sequenced.
DNA sequencing was performed on double-stranded plasmid DNA by several
methods. Both strands of the entire SHV-1 gene on pCLL3411
were
sequenced by traditional sequencing methods with a nested
set of
primers identical to and complementary to the
blaSHV-1 coding sequence. These were selected so
that they did not anneal
to regions of the gene corresponding to base
pair changes associated
with previously determined extended-spectrum
SHV gene DNA sequences.
The oligonucleotide primers used in traditional
sequencing reactions
were as follows: SHV-F1,
5'
CGGCCCTCACTCAAGGATG3' SHV-F2,
5'
GGGTGGATGCCGGTGACG3' SHV-F3,
5'
CCGCTGGGAAACGGAACTG3'
SHV-F4,
5'
GGGATTGTCGCCCTGCTTGG3' SHV-R1,
5'
GCGGCTGCGGGCTGGCGTG3'
SHV-R2,
5'
CCTGCGGGGCCGCCGACGG3' SHV-R3,
5'
CCACTGCAGCAGCTGCCG3'
SHV-R4,
5'
GCACGGAGCGGATCAACGG3' SHV-R5,
5'
CGCCCGGCACGCTGCGAGG3'
Traditional dideoxy-chain termination sequencing was
performed with a Sequenase kit (United States Biochemicals, Cleveland,
Ohio) with
35S-dATP label (Amersham, Arlington Heights,
Ill.) according to
the manufacturer's instructions (
23).
The Sequenase kit was
used with three different nucleotide triphosphate
mixtures containing
dGTP, dITP, or 7-deaza-dGTP. Thermal cycle
sequencing reactions
of PCR-cloned
blaSHV-1 and
blaSHV-2 genes were performed according
to the
ABI PRISM Dye Terminator Cycle Sequencing Ready Reaction
kit with
AmpliTaq DNA polymerase, FS (Applied Biosystems, Inc.,
Foster City,
Calif.), according to the manufacturer's instructions
(
22).
The cycle sequencing reaction was performed with GeneAmp
PCR system
9600 (ABI-PE), also according to the protocol. Spin
columns were
employed to remove unincorporated dye-labeled nucleotides
after cycle
sequencing. Automated DNA sequencing-grade 4.75% polyacrylamide
gels
were run for DNA sequencing samples by using ABI 373 DNA
sequencers.
Nucleotide sequence accession number.
The nucleotide
sequence data for blaSHV-1 and
blaSHV-2 determined in this study are listed in
GenBank under accession no. AF148850 and AF148851, respectively.
 |
RESULTS AND DISCUSSION |
The nucleotide sequence obtained by traditional dideoxy-chain
termination with blaSHV-1 resulted in numerous
compressions on the sequencing film. Interestingly, two of these areas
of compression were found in regions of the
blaSHV-1 gene sequence that corresponded to
amino acid substitutions noted in previously published reports (11, 17, 18). As shown in Fig.
1 and 2,
the nucleotides comprising the codon for amino acid 54 appeared to be
absent when a sequencing film was examined visually. This apparent
deletion of glycine 54 was reported in several SHV-type sequences
(17, 18). However, these nucleotides were present when the
sequence was determined for the noncoding strand or when the sequence
was generated by the automated thermal cycling method.

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FIG. 1.
Sequencing gel of nucleotides 142 through 160 for
blaSHV-1. The autoradiograph shows the
compressions that occur in this region following sequencing reactions
performed by the dideoxy-chain termination method. The photograph was
taken with a Kodak DC120 digital camera and converted to an electronic
file by using PhotoEnhancer (Pictureworks).
|
|

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FIG. 2.
Comparison of sequences of nucleotides 142 through 160 of blaSHV-1. Numbers above the nucleotide
sequence indicate the amino acid according to the designation of Ambler
et al. (1). Reference Seq is the only published nucleotide
sequence for SHV-1 (11). Dideoxy FWD was obtained by
dideoxy-nucleotide chain termination sequencing with a forward primer.
DiDx REV (RC) is the reverse complement of sequence obtained by
standard dideoxy-chain termination sequencing of the noncoding strand
with a reverse primer. Auto. Therm was obtained by thermal cycling
sequencing reactions followed by running the reactions in an automated
sequencing unit. The area of compression that caused a discrepancy is
shaded. This compression was such that the three nucleotides
corresponding to the glycine were not observed.
|
|
For some of the areas, the observed compressions gave different results
on individual testing days (Fig. 3). For
example, nucleotides encoding amino acids 187 to 189 were quite
different, depending on the day of the test. These differences could be
due to variations in individual sequencing reactions or the resolving capabilities of individual gels. Furthermore, this area of discrepancy was not resolved by sequencing the noncoding strand. However, the
correct sequence was obtained by substitution of dITP or 7-deaza-dGTP for dGTP in the sequencing reaction by the dideoxy-chain termination method. The correct sequence was also obtained by automated thermal cycling.

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FIG. 3.
Comparison of sequences of nucleotides 544 through 573 of blaSHV-1. Numbers above the nucleotide
sequence indicate the amino acid according to the designation of Ambler
et al. (1). Reference Pro was obtained by sequencing the
SHV-1 protein (4). Reference Seq is the only published
nucleotide sequence for blaSHV-1
(11). The DiDx. FWD (days 1 to 4) sequences were obtained by
standard (dGTP mix) dideoxy-chain termination sequencing with a forward
primer on 4 separate days. DiDx REV (RC) is the reverse complement of
sequence obtained by standard dideoxy-chain termination sequencing of
the noncoding strand with a reverse primer. DiDx dITP was obtained by
substituting dITP for dGTP in the sequencing reaction mixture. 7-deaza
dGTP was obtained by substituting 7-deaza-dGTP for dGTP in the
sequencing reaction mixture. Auto. Therm was obtained by thermal
cycling sequencing reactions followed by running the reactions in an
automated sequencing unit. The area of compression which caused a
discrepancy is shaded.
|
|
Amino acid substitutions of Lys192Asn and Leu193Val have been described
by several investigators (11, 17, 18). In addition, these
investigators reported the addition of a glycine residue between amino
acids 193 and 194. As shown in Fig. 3, every time that sequencing was
performed by dideoxy-chain termination on the coding strand of DNA, the
resultant amino acid sequence was this exact combination of derived
amino acids (Lys192Asn, Leu193Val, and the addition of glycine between
residues 193 and 194). However, if nucleotide sequencing was performed
with the noncoding strand, by substituting dITP or 7-deaza-dGTP for
GTP, or by automated sequencing methods, the derived amino acid
sequence was identical to that obtained by protein sequencing of SHV-1
(4). The latter sequence appears to be completely conserved
for this region of the protein among all of the other reported
sequences for SHV derivatives (Table 1).
This study indicates that errors in sequences for SHV-type derivatives
can easily arise due to a common difficulty in reading films generated
by the dideoxy-chain termination method. These errors have been shown
to result in the deletion of an amino acid residue at position 54, the
addition of a residue between amino acids 193 and 194, and
substitutions at positions 192 and 193. Many of these compressions were
particularly insidious, because to the eye they did not appear to be
the usual G-C-type compressions, in that it was not inherently obvious
that a compression had occurred. Only after sequencing the noncoding
strand or by using an alternative deoxynucleotide triphosphate for dGTP
in the sequencing reactions did the discrepancy come to light. It must
be noted, however, that the sequencing of the noncoding strand and the
use of the alternative deoxynucleotide triphosphates dITP and
7-deaza-dGTP introduced compressions and tended to introduce ambiguity
at other locations (data not shown). Therefore, it is essential that
one or more of the methods used to resolve the sequence for the
dideoxy-chain termination method be used in conjunction with the
original forward sequencing method.
In this study, the automated thermal cycling method consistently
produced results that were in line with the consensus for blaSHV gene sequences. The
blaSHV genes are more G-C rich (G+C content = 61%) than other class A
-lactamases (G+C content = 49, 41, and 50% for blaTEM-1,
blaPSE-1, and blaOXA-1,
respectively). The large amount of guanine and cytosine residues found
in blaSHV-1 accounts for the increased number of
compressions that were observed in traditional sequencing methods. The
automated system uses a thermal cycling reaction that melts the DNA
molecule during the sequencing reaction, thereby reducing the number
and/or the severity of compressions that occur with more standard
sequencing methods. This problem would not be unique to the T7 DNA
polymerase found in the Sequenase kit, but would be common to all
polymerases that work at low temperatures.
The results of this study show that the sequencing of genes encoding
SHV-type
-lactamases is not as straightforward as the sequencing of
other
-lactamase genes. It has been demonstrated that sequencing
errors may be reported if only the forward sequencing reaction of
manual methods is performed. Therefore, at the very least, it is
essential to sequence both strands of the blaSHV gene, although not all of the discrepancies were resolved by sequencing the noncoding strand.
 |
ACKNOWLEDGMENTS |
I thank Eric Beer for excellent technical assistance with the
automated sequencing, Tim Murphy for help with photography, and Steven
J. Projan for critical review of the manuscript.
 |
FOOTNOTES |
*
Mailing address: Wyeth-Ayerst Research, 401 N. Middletown Rd., Pearl River, NY 10965. Phone: (914) 732-4396. Fax:
(914) 732-5671. E-mail: bradfop{at}war.wyeth.com.
 |
REFERENCES |
| 1.
|
Ambler, R. P.,
A. F. W. Coulson,
J.-M. Frére,
J.-M. Ghuysen,
B. Joris,
M. Forsman,
R. C. Levesque,
G. Tiraby, and S. G. Waley.
1991.
A standard numbering scheme for the class A -lactamases.
Biochem. J.
276:269-270.
|
| 2.
|
Arakawa, Y.,
M. Ohta,
N. Kido,
Y. Fujii,
T. Komatsu, and N. Kato.
1986.
Close evolutionary relationship between the chromosomally encoded -lactamase gene of Klebsiella pneumoniae and the TEM -lactamase gene mediated by R plasmids.
FEBS Lett.
207:69-74[Medline].
|
| 3.
|
Arlet, G.,
M. Rouveau, and A. Philippon.
1997.
Substitution of alanine for aspartate at position 179 in the SHV-6 extended-spectrum -lactamase.
FEMS Microbiol. Lett.
152:163-167[Medline].
|
| 4.
|
Barthélémy, M.,
J. Peduzzi, and R. Labia.
1988.
Complete amino acid sequence of p453-plasmid-mediated PIT-2 -lactamase (SHV-1).
Biochem. J.
251:73-79[Medline].
|
| 5.
|
Barthélémy, M.,
J. Péduzzi,
H. B. Yaghlane, and R. Labia.
1988.
Single amino acid substitution between SHV-1 -lactamase and cefotaxime-hydrolyzing SHV-2 enzyme.
FEBS Lett.
231:217-220[Medline].
|
| 6.
|
Billot-Klein, D.,
L. Gutmann, and E. Collatz.
1990.
Nucleotide sequence of the SHV-5 -lactamase gene of a Klebsiella pneumoniae plasmid.
Antimicrob. Agents Chemother.
34:2439-2441[Abstract/Free Full Text].
|
| 7.
|
Bradford, P. A.,
C. Urban,
A. Jaiswal,
N. Mariano,
B. A. Rasmussen,
S. J. Projan,
J. J. Rahal, and K. Bush.
1995.
SHV-7, a novel cefotaxime-hydrolyzing -lactamase, identified in Escherichia coli isolates from hospitalized nursing home patients.
Antimicrob. Agents Chemother.
39:899-905[Abstract].
|
| 8.
|
Garbarg-Chenon, A.,
V. Godard,
R. Labia, and J.-C. Nicolas.
1990.
Nucleotide sequence of SHV-2 -lactamase gene.
Antimicrob. Agents Chemother.
34:1444-1446[Abstract/Free Full Text].
|
| 9.
|
Huletsky, A.,
F. Couture, and R. C. Levesque.
1990.
Nucleotide sequence and phylogeny of SHV-2 -lactamase.
Antimicrob. Agents Chemother.
34:1725-1732[Abstract/Free Full Text].
|
| 9a.
| Jacoby, G., and K. Bush. 1999. Amino acid sequences
for TEM, SHV and OXA extended-spectrum and inhibitor resistant
-lactamases. [Online.] http://www.lahey.org/studies/webt.htm SHV.
[1 November 1999, last date accessed.]
|
| 10.
|
Kliebe, C.,
B. A. Nies,
J. F. Meyer,
R. M. Tolxdorff-Neutzling, and B. Wiedemann.
1985.
Evolution of plasmid-coded resistance to broad-spectrum cephalosporins.
Antimicrob. Agents Chemother.
28:302-307[Abstract/Free Full Text].
|
| 11.
|
Mercier, J., and R. C. Levesque.
1990.
Cloning of SHV-2, OHIO-1, and OXA-6 -lactamases and cloning and sequencing of SHV-1 -lactamase.
Antimicrob. Agents Chemother.
34:1577-1583[Abstract/Free Full Text].
|
| 12.
|
Nicolas, M.-H.,
V. Jarlier,
N. Honore,
A. Philippon, and S. T. Cole.
1989.
Molecular characterization of the gene encoding SHV-3 -lactamase responsible for transferable cefotaxime resistance in clinical isolates of Klebsiella pneumoniae.
Antimicrob. Agents Chemother.
33:2096-2100[Abstract/Free Full Text].
|
| 13.
|
Nüesch-Inderbinen, M. T.,
F. H. Kayser, and H. Hächler.
1997.
Survey and molecular genetics of SHV- -lactamases in Enterobacteriaceae in Switzerland: two novel enzymes, SHV-11 and SHV-12.
Antimicrob. Agents Chemother.
41:943-949[Abstract].
|
| 14.
|
Péduzzi, J.,
M. Barthélémy,
K. Tiwari,
D. Mattioni, and R. Labia.
1989.
Structural features related to hydrolytic activity against ceftazidime of plasmid-mediated SHV-type CAZ-5 -lactamase.
Antimicrob. Agents Chemother.
33:2160-2163[Abstract/Free Full Text].
|
| 15.
|
Podbielski, A., and B. Melzer.
1990.
Nucleotide sequence of the gene encoding the SHV-2 -lactamase (blaSHV-2) of Klebsiella ozaenae.
Nucleic Acids Res.
18:4916[Free Full Text].
|
| 16.
|
Podbielski, A.,
J. Schönling,
B. Melzer,
K. Warnatz, and H.-G. Leusch.
1991.
Molecular characterization of a new plasmid-encoded SHV-type -lactamase (SHV-2 variant) conferring high-level cefotaxime resistance upon Klebsiella pneumoniae.
J. Gen. Microbiol.
137:569-578[Abstract/Free Full Text].
|
| 17.
|
Prinarakis, E. E.,
V. Miriagou,
E. Tzelepi,
M. Gazouli, and L. S. Tzouvelekis.
1997.
Emergence of an inhibitor-resistant -lactamase (SHV-10) derived from an SHV-5 variant.
Antimicrob. Agents Chemother.
41:838-840[Abstract].
|
| 18.
|
Prinarakis, E. E.,
E. Tzelepi,
M. Gazouli,
A. F. Mentis, and L. S. Tzouvelekis.
1996.
Characterization of a novel SHV -lactamase variant that resembles the SHV-5 enzyme.
FEMS Microbiol. Lett.
139:229-234[Medline].
|
| 19.
|
Rasheed, J. K.,
C. Jay,
B. Metchock,
F. Berkowitz,
L. Weigel,
J. Crellin,
C. Steward,
B. Hill,
A. A. Medeiros, and F. C. Tenover.
1997.
Evolution of extended-spectrum -lactam resistance (SHV-8) in a strain of Escherichia coli during multiple episodes of bacteremia.
Antimicrob. Agents Chemother.
41:647-653[Abstract].
|
| 20.
|
Sambrook, J.,
E. F. Fritsch, and T. Maniatis.
1989.
Molecular cloning: a laboratory manual, 2nd ed., vol. 1.
Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y
|
| 21.
|
Shlaes, D. M.,
C. Currie-McCumber,
A. Hull,
I. Behlau, and M. Kron.
1990.
OHIO-1 -lactamase is part of the SHV-1 family.
Antimicrob. Agents Chemother.
34:1570-1576[Abstract/Free Full Text].
|
| 22.
|
Spurgeon, S. L.,
S. Chen, and S. Koepf.
1996.
Improvements in dye primer and dye terminator sequencing with AmpliTaq DNA polymerase, FS.
Microb. Comp. Genomics
1:254-255.
|
| 23.
|
Tabor, S., and C. C. Richardson.
1987.
DNA sequence analysis with a modified bacteriophage T7 DNA polymerase.
Proc. Natl. Acad. Sci. USA
84:4767-4771[Abstract/Free Full Text].
|
Antimicrobial Agents and Chemotherapy, December 1999, p. 2960-2963, Vol. 43, No. 12
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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