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Antimicrobial Agents and Chemotherapy, November 2004, p. 4217-4225, Vol. 48, No. 11
0066-4804/04/$08.00+0     DOI: 10.1128/AAC.48.11.4217-4225.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

OXA-60, a Chromosomal, Inducible, and Imipenem-Hydrolyzing Class D ß-Lactamase from Ralstonia pickettii

Delphine Girlich, Thierry Naas, and Patrice Nordmann*

Service de Bactériologie-Virologie, Hôpital de Bicêtre, Assistance Publique/Hôpitaux de Paris, Faculté de Médecine Paris-Sud, Le Kremlin-Bicêtre, France

Received 30 April 2004/ Returned for modification 19 June 2004/ Accepted 28 July 2004


   ABSTRACT
Top
 Abstract
Introduction
 Materials and Methods
 Results and Discussion
 References
 
A chromosomally encoded oxacillinase, OXA-22, had been characterized from Ralstonia pickettii PIC-1 that did not explain by itself the resistance profile of this strain to ß-lactams. Thus, further analysis of the genetic background of this species led to the identification of another oxacillinase, OXA-60, that was expressed only after ß-lactam induction. This chromosomally encoded oxacillinase shared 19% amino acid identity with OXA-22. It has a narrow-spectrum hydrolysis profile that includes imipenem. OXA-60-like enzymes were identified in several R. pickettii strains. Gene inactivation and induction studies of the blaOXA-60 and blaOXA-22 genes in R. pickettii identified the relative contribution of each oxacillinase to the resistance profile of R. pickettii to ß-lactams.


   INTRODUCTION
Top
 Abstract
 Introduction
Materials and Methods
 Results and Discussion
 References
 
Ralstonia pickettii is a nonfermenting gram-negative rod that is isolated from water, soil, plants, fruits, and vegetables (13). It is rarely involved in nosocomial septicemia and tissue infections (7, 42). Most of the infections are traced to contamination of parenteral fluids or of medical equipment (8, 10, 20, 38). In 1992, this species was transferred from the genus Pseudomonas RNA homology group II to the genus Burkholderia (13) and subsequently in 1995 to the novel genus Ralstonia (44).

Analysis of the ß-lactamase content of R. pickettii showed that it contained a chromosomally located and inducible oxacillinase, OXA-22 (31). The oxacillin-hydrolyzing ß-lactamases (oxacillinases) belong to the Ambler class D of ß-lactamases (19). They usually hydrolyze oxacillin, methicillin, and cloxacillin better than benzylpenicillin, and their activity is inhibited by NaCl (6). Whereas most of the oxacillinases are plasmid mediated, several chromosomally encoded oxacillinases have been reported (2, 16, 17, 35, 37) or identified in silico in the genomes of Agrobacterium tumefaciens (15), Mesorhizobium loti (21), Bradyrhizobium japonicum (22), "Cyanobacterium anabaena" (23), and Ralstonia solanacearum (39).

OXA-22 is a narrow-spectrum oxacillinase that could not explain by itself the entire resistance profile of R. pickettii (31). Thus, further characterization of the ß-lactamase content of R. pickettii was conducted that led to the discovery of a second chromosomally encoded and inducible oxacillinase, OXA-60. Both oxacillinases, OXA-22 and OXA-60, are regulated and widespread in R. pickettii. The contribution of both oxacillinases to the overall resistance profile has been assessed also.


   MATERIALS AND METHODS
Top
 Abstract
 Introduction
 Materials and Methods
Results and Discussion
 References
 
Bacterial strains and plasmids. R. pickettii clinical isolates PIC-1, PIC-2 and PIC-3 have previously described (31). R. pickettii reference strains (ATCC 27511, CIP 103413, and CIP 74.22), R. solanacearum (CIP 104762T), R. basilensis (CIP 106792T), R. eutropha (CIP 104763T), R. gilardii (CIP 105966T), and R. paucula (CIP 105943T) were from the Pasteur Institute strain collection (CIP, Paris, France). Escherichia coli DH10B and rifampin-resistant E. coli JM109 were used as hosts for cloning and conjugation experiments. The kanamycin-resistant pBKCMV and pPCRBluntII-TOPO plasmids (Invitrogen/Life Technologies, Cergy-Pontoise, France), the chloramphenicol-resistant plasmid pPCRScript-Cam (Stratagene, Amsterdam, The Netherlands) were used as cloning vectors. The tetracycline-resistant plasmid pACYC184 (New England Biolabs/Ozyme, Saint-Quentin-en-Yvelines, France) was used as a suicide vector for gene inactivation in R. pickettii PIC-1 strain since its P15A oriE origin of replication restricts its host range to E. coli and a few other enterobacterial species (12). The plasmid pET9a was used as an expression vector (Stratagene). Bacterial cultures were grown in Trypticase soy broth (TSB) at 37°C for 18 h unless otherwise indicated.

Antimicrobial agents and MIC determinations. The antimicrobial agents and their sources have been described elsewhere (33). MICs were determined by an agar dilution technique on Mueller-Hinton agar (Sanofi-Diagnostics Pasteur, Marnes-La-Coquette, France) plates with a Steers multiple inoculator and an inoculum of 104 CFU per spot (33). The results of susceptibility testing were recorded according to the guidelines of the National Committee for Clinical Laboratory standards (29).

Plasmid extraction and conjugation assays. Extraction of natural plasmid DNAs from R. pickettii isolates were attempted as described by Kieser et al. (24). Recombinant plasmid DNA was prepared by using Qiagen Maxi columns (Coger, Paris, France).

Direct transfer of the amoxicillin resistance marker into rifampin-resistant E. coli JM109 obtained in vitro was attempted by liquid and solid conjugation assays at 30 and 37°C. Transconjugants were selected on Trypticase soy agar (TSA) plates (Sanofi-Diagnostics Pasteur) containing amoxicillin (50 µg/ml) and rifampin (100 µg/ml).

Cloning experiments and PCR experiments. All enzymes for DNA manipulations were used according to the recommendations of the supplier (Amersham Biosciences, Orsay, France). Unless specified otherwise, standard molecular techniques were used (40). For each PCR experiment, 500 ng of total DNA was used in a standard PCR mixture supplemented with 10% dimethyl sulfoxide (40). PCR amplifications of the blaOXA-60-like genes were performed with the internal primers OXA-60C and OXA-60D (Table 1).


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  		TABLE 1. Nucleotide sequences of primers used for amplification and sequence analysis

 
Partially Sau3AI-restricted whole-cell DNA was cloned into BamHI-restricted vector pBKCMV as previously described (33). E. coli harboring recombinant plasmids was selected onto amoxicillin (30 µg/ml) and kanamycin (30 µg/ml)-containing TSA plates. The recombinant plasmid, pC1, with the smallest Sau3AI insert, was retained for further analysis. The recombinant plasmid pC2 was obtained by ligation of SacII-digested genomic DNA from R. pickettii PIC-1 in the SacII-restricted plasmid pPCRScript-Cam, followed by amoxicillin-chloramphenicol selection (33). Recombinant plasmids were transformed by electroporation (Bio-Rad Gene Pulser II; Bio-Rad, Ivry-sur-Seine, France) into E. coli DH10B electrocompetent cells (Invitrogen/Life Technologies).

Recombinant plasmid, pET-OXA-60, used for OXA-60 overexpression, was constructed as follows: a 848-bp PCR generated fragment by using primers containing the NdeI/BamHI restriction site (Table 1) was cloned into pPCRBluntII-TOPO plasmid (Invitrogen/Life Technologies) according to the manufacturer's instructions, resulting in plasmid pTOPO-OXA-60. The insert of the latter plasmid was removed with NdeI-BamHI and cloned into NdeI/BamHI-restricted pET9a expression vector (Stratagene).

Internal fragments of the blaOXA-60 and blaOXA-22 genes were amplified by PCR with primers containing NcoI and EcoRI restriction sites (Table 1). The amplified fragments (726 and 595 bp for the blaOXA-60 and blaOXA-22 genes, respectively) were cloned in E. coli DH10B into NcoI- and EcoRI-digested tetracycline-resistant plasmid pACYC184 resulting in the recombinant plasmids p{Delta}OXA-60 (4,673 bp) and p{Delta}OXA-22 (4,542 bp), respectively.

Gene inactivation. Mutant strains deficient in the blaOXA-60 and blaOXA-22 genes were constructed by homologous recombination as follows. Recombinant plasmids p{Delta}OXA-60 and p{Delta}OXA-22 were transferred into wild-type R. pickettii strain PIC-1 by electroporation, and strains in which the plasmid integrated into the blaOXA-60 or blaOXA-22, genes, respectively, by a single recombination event were selected for their tetracycline resistance marker (50 µg/ml). Genomic DNA from 10 tetracycline-resistant strains was prepared and disruption of the genomic copy of the blaOXA-60 or blaOXA-22 genes was confirmed by PCR. The lack of replication ability of the plasmid pACYC184 in R. pickettii was checked by PCR with the primers 184NcoI and 184EcoRI (Table 1) located on the plasmid on each side of the inserted truncated oxacillinase gene.

Southern transfer and pulsed-field gel electrophoresis analyses. Genomic DNA of R. pickettii PIC-1 was digested either with SacII, PstI, SalI, AccI or EagI restriction enzymes and genomic DNAs from several strains of different Ralstonia species were digested with AccI restriction enzyme overnight at 37°C. The DNA fragments were resolved on a 1% agarose gel prior to their transfer onto a Hybond-N+ membrane (Amersham Pharmacia Biotech, Orsay, France). Blots were probed with 763- and 619-bp internal PCR fragments specific for the blaOXA-60 and blaOXA-22 genes, respectively. The probes were labeled by using the ECL labeling kit according to the manufacturer's recommendations (Amersham Pharmacia Biotech, Orsay, France).

To search for a chromosomal location of the ß-lactamase genes, the whole-cell DNA of R. pickettii was restricted with I-CeuI restriction enzyme (New England Biolabs/Ozyme) as previously described (25, 36). After a Southern transfer (40), DNAs were hybridized with PCR-generated probes specific to the 23S rRNA (with primers 577f23 and 1622r23), blaOXA-22 (with primers OXA-22 NcoI and OXA-22 EcoRI), and blaOXA-60 (with primers OXA-60 NcoI and OXA-60 EcoRI) (Table 1) genes.

DNA sequencing and protein analysis. PCR-generated fragments, purified by using QiaQuick PCR purification spin columns, and the inserts of the recombinant plasmids were sequenced on both strands on an ABI 3100 automated sequencer (Applied Biosystems, Les Ulis, France). The nucleotide and the deduced protein sequences were analyzed with software available on the internet at the National Center of Biotechnology Information website (http://www.ncbi.nlm.nih.gov). Multiple nucleotide and protein sequence alignments were carried out online by using the program CLUSTAL W available online at the University of Cambridge (http://www2.cbi.ac.uk/clustalW/).

GenBank accession numbers and references for the blaOXA genes can be found at the website http://www.lahey.org/studies/other.asp except for LCR-1 (9, 27) and OXA-50 (14) from Pseudomonas aeruginosa, OXA-58 (AY570763) from A. baumannii, all2480 from "Cyanobacterium anabaena" (23), bll5360 from B. japonicum (22), mll0916 from M. loti (21), agrC1700p from A. tumefaciens (15), and Rsp0030 from R. solanacearum (39). Dendrograms were derived from the multiple sequence alignment by a parsimony method by using the phylogeny package PAUP (Phylogenetic Analysis Using Parsimony) version 3.0 (41).

Mapping the blaOXA-60 transcription start site. Reverse transcription and rapid amplification of cDNA ends (RACE) were performed with the 5'RACE system version 2.0 (Invitrogen/Life Technologies). A total of 5 µg of total RNAs extracted from imipenem-induced culture of R. pickettii PIC-1 (Qiagen RNeasy Maxi Kit) and the OXA-60GSP1 and OXA-60GSP2 antisense blaOXA-60 gene-specific primers were used to determine the transcription initiation site of the blaOXA-60 gene.

IEF analysis and induction studies. Isoelectric focusing (IEF) was performed with a pH 4 to 6.5 Ampholine polyacrylamide gel (Amersham Pharmacia Biotech) for 2.5 h at 25 W, 25 mA, and 2,000 V in a flatbed apparatus with culture extracts of R. pickettii isolates and E. coli DH10B harboring plasmids pC1 and pC2.

Inducibility of the ß-lactamase content from each R. pickettii culture was tested in TSB at 37°C by using the induction protocol with imipenem (1 µg/ml) as ß-lactam inducer as described previously (34). The ß-lactamase activity was defined as 1 U of enzyme that hydrolyzed 1 µmol of nitrocefin per min. The total protein content was measured with bovine albumin as the standard (DC Protein Assay Kit Bio-Rad).

ß-Lactamase purification. Induction of an exponentially growing culture of E. coli BL21(DE3) (pET-OXA-60) with 0.4 mM IPTG (isopropyl-ß-D-thiogalactopyranoside) was performed at 37°C for 5 h in TSB. One liter of this culture was pelleted and resuspended in 30 ml of 20 mM Tris-H2SO4 buffer (pH 8.5). The protein extracts obtained were purified as described previously (14) with some modifications. Briefly, culture extracts were subjected to several purification steps, including ion-exchange chromatography with Q-Sepharose columns, first with a 20 mM Tris-HCl buffer (pH 8.5) and then a 20 mM BisTris buffer (pH 6.5). Elution of the ß-lactamase was performed with a linear K2SO4 gradient (0 to 500 mM). Peaks of ß-lactamase activities were pooled and dialyzed with 50 mM phosphate buffer (pH 7.0). The protein content was measured by the Bio-Rad DC protein assay. The protein purification rate and the relative molecular mass of OXA-60 ß-lactamase were estimated by sodium dodecyl sulfate (SDS)-polyacrylamide gel electrophoresis analysis (33). The signal peptide cleavage site was identified as described previously (14). Briefly, the purified protein was transferred from a SDS-polyacrylamide gel electrophoresis onto a polyvinylidene difluoride (PVDF) membrane (Problott; Applied Biosystems) by passive absorption. Subsequently, the membrane was washed in 10% methanol with vortexing. N-terminal Edman sequencing was performed on an Applied Biosystems Procise 494HT sequencer with the reagents and by the methods recommended by the manufacturer.

Kinetic studies. Purified ß-lactamase was used for determination of kinetic parameters (kcat and Km) performed at 30°C in 100 mM Tris-H2SO4-300 mM K2SO4 (pH 7.0) (32). The initial rates of hydrolysis of ß-lactams were determined with a UV spectrophotometer as previously described (28). The 50% percent inhibitory concentration (IC50) was determined as the clavulanate, tazobactam, or sulbactam concentration that reduced the hydrolysis rate of 100 µM concentrations of nitrocefin by 50% under conditions in which the enzyme was preincubated with various concentrations of inhibitor for 3 min at 30°C before addition of the substrate (28). The effect of carbon dioxide on the modulation of enzymatic properties of OXA-60 was investigated by adding NaHCO3 to the reaction buffer at a 10 mM final concentration. The kcat and Km values were determined for appropriate substrates in the presence or absence of bicarbonate (26, 32).

Nucleotide sequence accession number. The nucleotide sequence data reported in the present study have been added to the EMBL/GenBank nucleotide database under accession numbers AF525303, AY662675, AY664504, AY664505, and AY664506.


   RESULTS AND DISCUSSION
Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
References
 
Susceptibility testing and IEF analysis. MICs of ß-lactams for R. pickettii PIC-1 showed resistance or decreased susceptibility to aminopenicillins, carboxypenicillins, narrow-spectrum cephalosporins, moxalactam, and aztreonam as previously reported (Table 2) (31). Addition of clavulanic acid and tazobactam did not modify significantly the resistance pattern (Table 2). The presence of the blaOXA-22 gene in R. pickettii PIC-1 could only partially explain the resistance profile (31).


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  		TABLE 2. MICs of ß-lactams for R. pickettii PIC-1 and its isogenic strains, E. coli DH10B harboring recombinant plasmids pC1 and pSC13, and reference strain E. coli DH10B

 
Induction experiments with cultures of R. pickettii PIC-1 with imipenem as ß-lactam inducer and IEF analysis revealed a single ß-lactamase with a pI of 7.1 corresponding to OXA-22 (31) in noninduced cultures and two distinct ß-lactamase bands of pI 7.1 and 5.1 (faint band) in induced cultures (data not shown). This result indicated the likely presence of a second ß-lactamase.

Cloning and sequencing of the ß-lactamase gene. Shotgun cloning with partially Sau3AI-restricted genomic DNA yielded several recombinant E. coli clones. Of 10 tested clones, all had an oxacillinase phenotype that differed from that of E. coli DH10B recombinant clones harboring pSC13 with blaOXA-22 (31). These clones contained inserts ranging from 1.6 to 2.5 kb. The smallest recombinant plasmid pC1 was retained for further analysis. The ß-lactamase expressed by E. coli DH10B (pC1) conferred resistance to amino- and ureidopenicillins unchanged after clavulanic acid addition (Table 2). MIC of imipenem for E. coli DH10B (pC1) was 1 µg/ml, a fourfold-higher value than that of E. coli DH10B (pSC13) expressing OXA-22, indicating that the ß-lactamase carried by pC1 may be able to hydrolyze imipenem.

E. coli DH10B(pC1) produced a ß-lactamase with a pI of 5.1 that corresponded to one of the two pI values obtained for culture extracts of R. pickettii PIC-1 after imipenem induction.

DNA sequence analysis of the 1,629-bp insert of pC1 revealed an open reading frame (ORF) of 816 bp encoding a 271-amino-acid preprotein, OXA-60, of relative molecular mass of 27.7 kDa (Fig. 1). The G+C content of this ORF was 64.6%, which is within the expected range of the G+C content of Ralstonia spp. genes (63 to 70%) (44). The two oxacillinase genes of R. pickettii PIC-1 shared a weak nucleotide identity (<19%). Using 5'RACE PCR experiments, the site of initiation of transcription of the blaOXA-60 gene was mapped in the genome of R. pickettii PIC-1. The nucleotide sequence of the 5'RACE PCR product showed that transcription starts at the cytosine located 55 bp upstream of the blaOXA-60 gene translational start site (Fig. 1). Upstream of this transcriptional start site, a –35 promoter sequence, TGGCCG, was found, separated by 17 bp from a –10 promoter sequence, TACGAT (Fig. 1b).



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  		FIG. 1. Schematic representation of recombinant plasmids containing the blaOXA-60 gene, pC1 (a), and pC2 (b). The thin lines represent the cloned inserts from R. pickettii PIC-1, whereas the thick lines indicate the vector sequence. The structure of the promoter of the blaOXA-60 gene, the conserved regions (–35, –10, and +1) for RNA polymerase, and the ribosome-binding site (RBS) are represented in panel b. The coding regions (orf-RP1 to orf-RP4 and blaOXA-60) are represented as boxes, with arrows indicating their transcription direction. (c) Chromosomally encoded genes of R. solanacearum GMI 1000 (39) sharing nucleotide identity with several coding regions of R. pickettii PIC-1.

 
Sequence analysis of ß-lactamase OXA-60. The 271-amino-acid protein OXA-60 contained two conserved motifs of serine ß-lactamase S-T-F-K and K-T-G at positions 70 to 73 and positions 216 to 218 (class D ß-lactamase [DBL] numbering) (6, 9, 27) (Fig. 2). A typical motif Y-G-N of oxacillinases was found at DBL positions 144 to 146, as opposed to other oxacillinases with carbapenem-hydrolyzing properties identified in A. baumannii (OXA-23 to OXA-27 and OXA-40) that possessed an F-G-N motif at these positions (1, 4, 11, 16). As described previously, the phenylalanine residue at DBL position 144 is likely not critical for imipenem hydrolysis (16). Furthermore, the S-X-V triad at DBL position 118 to 120 was proposed to be a better equivalent of the S-D-N motif of class A ß-lactamase than the Y-G-N motif at positions 144 to 146 (Fig. 2) (27).



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  		FIG. 2. Amino acid sequence comparison of oxacillinase OXA-60 with the sequences of oxacillinases OXA-50 from P. aeruginosa PAO1 (14); OXA-40, OXA-27, and OXA-58 from A. baumannii (1, 16; GenBank number AY570763); OXA-5 and OXA-10 from P. aeruginosa; OXA-48 from K. pneumoniae; OXA-54 from S. oneidensis (35); OXA-55 from S. algae (17); and bll5360 from B. japonicum (22). Boxes indicate conserved residues for oxacillinases. Numbering of ß-lactamases is according to DBL (9). The arrow indicates the cleavage site for the leader peptide of OXA-60.

 
The common motif Q-X-X-X-L of oxacillinases was not found at DBL position 176 to 180 in OXA-60, but it was replaced by the motif E-A-R-F-T (glutamate-alanine-arginine-phenylalanine-threonine). Interestingly, this motif is also absent in sequences of other oxacillinases OXA-23, OXA-24, OXA-27, and OXA-40 (1, 4, 11, 16).

The N-terminal amino acid sequencing of the mature protein revealed the cleavage site for the leader peptide between the alanine and the glutamic acid between residues 17 and 18 (HA-EL) (Fig. 2).

ß-Lactamase OXA-60 shared 46% amino acid identity with the naturally occurring oxacillinase OXA-50 from P. aeruginosa (14), 37% identity with the putative ß-lactamase bll5360 from B. japonicum (22), 36% with OXA-55 from Shewanella algae (17), 34% with OXA-5 from P. aeruginosa, and OXA-48 from K. pneumoniae (36), 33% with OXA-54 from S. oneidensis (35), and 31% with OXA-27 from A. baumannii (1). Surprisingly, OXA-60 shared only 19% amino acid identity with OXA-22, suggesting that they did not derive from a common ancestor. A phylogenetic tree based on amino acid sequence identity (Fig. 3) showed that OXA-60 could not be included into any of the five defined groups of oxacillinases. Interestingly, OXA-60 shared the highest amino acid identity with several oxacillinases known to hydrolyze imipenem (OXA-27, OXA-48, OXA-50, OXA-54, and OXA-55) (1, 14, 17, 35, 36).



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  		FIG. 3. Dendrogram obtained for 26 oxacillinases as determined by parsimony analysis (41). Branch lengths are drawn to scale and are proportional to the number of amino acid changes. The number of changes is indicated above each branch, and the percentage values at branching points (underlined) refer to the number of times a particular node was found in 100 bootstrap replications (the asterisks indicate uncertainty about nodes with bootstrap values of <50%). The distance along the vertical axis has no significance. Numbers in parentheses indicate percentage of amino acid identity with the ß-lactamase OXA-60. Bacterial species names correspond to oxacillinases that occur naturally in those species.

 
Biochemical properties of OXA-60. After purification from E. coli BL21(DE3)/(pET-OXA-60) extract, specific activity of ß-lactamase OXA-60 against benzylpenicillin was 637 U/mg of protein, and its purity was estimated to be >95% by SDS-polyacrylamide gel electrophoresis analysis where a single protein of ca. 27.7 kDa was seen after Coomassie blue staining (data not shown).

Kinetic parameters of purified ß-lactamase OXA-60 showed that it had a hydrolysis profile that includes amoxicillin, benzylpenicillin, ticarcillin, and imipenem (Table 3). The very weak catalytic efficiency (kcat/Km) of OXA-60 for most ß-lactams resulted from a low affinity (high Km values) for these substrates. The highest affinity was found for imipenem with a Km value of 2 µM. Biphasic kinetics were seen for amoxicillin, benzypenicillin, cephaloridine, oxacillin, and piperacillin. For these substrates, kcat and Km were determined in the steady-state part of the kinetics (the second part of the curve). Since carbon dioxide may influence the kinetics of oxacillinases (26, 32), hydrolysis parameters were determined also with NaHCO3. Carbon dioxide did not transform the hydrolysis biphasic curve to a linear curve for any of these substrates. The addition of 10 mM NaHCO3 did not significantly modify the catalytic efficiency of OXA-60 except for imipenem (data not shown). However, a lower affinity of OXA-60 for imipenem was observed in the presence of NaHCO3, thus explaining why the kcat/Km ratio with or without NaHCO3 remained unchanged for this substrate (data not shown). Similar results were obtained with OXA-50 from P. aeruginosa, the ß-lactamase that shared the highest sequence identity with OXA-60 (14). Hydrolysis of oxacillin and cloxacillin were also detected at a low level as for other carbapenem-hydrolyzing oxacillinases (6, 27). Oxacillin was better hydrolyzed by OXA-60 than cloxacillin, although the enzyme had a weaker affinity for oxacillin (Km > 2 mM). Hydrolysis of expanded-spectrum cephalosporins were not measurable except for ceftazidime. No hydrolysis of cephalothin was observed for OXA-60, whereas it was the best cephalosporin substrate for OXA-22 (31). Interestingly, OXA-60 hydrolyzed imipenem, and the catalytic activity of OXA-60 is more robust than that of other carbapenem-hydrolyzing oxacillinases, including OXA-54 of S. oneidensis (1, 4, 11, 16, 17, 35). Nevertheless, the ability of OXA-60 to hydrolyze imipenem was similar to that of OXA-54 (kcat/Km values for imipenem being, respectively, 260 and 250 mM–1 s–1).


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  		TABLE 3. Steady-state kinetic parameters of the ß-lactamase OXA-60 and comparison of parameters obtained for ß-lactamase OXA-22 (31)a

 
Inhibition studies as measured by IC50 values showed that OXA-60 activity was weakly inhibited by clavulanic acid (450 µM), tazobactam (73 µM), and sulbactam (320 µM). This result corresponded to that found for other oxacillinases for which the tazobactam inhibitory property is equal to or higher than that of clavulanic acid (6, 27). OXA-60 activity was inhibited by NaCl as for most of the oxacillinases (IC50 = 23 mM) (6).

Genetic environment of blaOXA-60. Recombinant plasmid pC2 was obtained by ligation of SacII-digested DNA of R. pickettii PIC-1 in plasmid pPCRScriptCam (Fig. 1). The flanking sequences of blaOXA-60 were then analyzed by sequencing the 6,183-bp insert of pC2. Several ORFs were found that shared identity with chromosomally encoded genes of R. solanacearum (39) and Chromobacterium violaceum (5). An ORF located 192-bp upstream of the ATG codon of blaOXA-60 (orf-RP3) and divergently transcribed encoded a 519-amino-acid protein that had 35% identity with an hypothetical protein CV3151, from C. violaceum. orf-RP2 that was located 1,876 bp upstream of the ATG codon of blaOXA-60 and divergently transcribed, encoded a 140-amino-acid protein that had 79% identity with Rs0260, a putative transcription regulator from R. solanacearum and further upstream (orf-RP1), a sequence that contained the 5' end of a gene encoding a putative pyrrolidone carboxylate peptidase (PCP2) (63% of the gene) from R. solanacearum. Both genes shared 81 and 84% nucleotide identity with rsp0260 and pcp2, respectively (39). The 3' end of another ORF was identified 657 bp downstream of the blaOXA-60 gene. Its deduced sequence shared 91% amino acid identity with Rs0262, a putative transmembrane protein of unknown function of R. solanacearum (39).

Although high-molecular-weight plasmids have been detected in R. pickettii PIC-1 (31), conjugation assays with R. pickettii PIC-1 as donor and rifampin-resistant E. coli JM109 as a recipient strain failed to transfer a ß-lactam resistance marker. The location of the blaOXA-60 gene was determined more precisely with the endonuclease I-CeuI technique. Three DNA fragments (3,700, 140, and 150 kb) were generated from whole-cell DNA of R. pickettii PIC-1. The probe for the rRNA genes hybridized with all DNA fragments. Hybridization of restricted DNA of R. pickettii PIC-1 with the blaOXA-60-specific and with the blaOXA-22-specific probe gave a single signal corresponding to the 3,700-kb fragment, indicating the chromosomal location for both oxacillinase genes. In contrast to most of the oxacillinase genes, the blaOXA-60-like genes were not located within class 1 integrons since no core site or inverse core site was found surrounding the coding sequences of these genes (data not shown). No sequence coding for a putative AmpR regulator was found immediately upstream of the blaOXA-60 gene.

Distribution of OXA-60-like genes in R. pickettii isolates. Analysis of the PFGE patterns of the XbaI-restricted DNAs of several R. pickettii clinical isolates and reference strains showed that these strains were not epidemiologically related except for R. pickettii PIC-1 and PIC-3 that differed only by a few XbaI bands (31). Analytical IEF performed on a pH 4 to 6.5 Ampholine polyacrylamide gel revealed pI values of additional ß-lactamases in extracts from imipenem-induced culture extracts of R. pickettii. An identical ß-lactamase with a pI of 5.1 was detected in R. pickettii PIC-1 and PIC-3, a band of pI 5.2 was found in R. pickettii PIC-2 and ATCC 27511, and a band of pI 5.3 was found in R. pickettii CIP 103413 and CIP 74.22 (data not shown). These pI values corresponded to blaOXA-60-like genes that gave positive signals by PCR and that were sequenced. The deduced proteins shared 91 to 100% amino acid identity. The genetic variability of OXA-60-like sequences in R. pickettii was slight, as found for OXA-22-like sequences (Table 4) (31). Southern blot analyses showed that the blaOXA-22 and blaOXA-60 genes did not hybridize to the same SacII, PstI, SalI-, AccI-, or EagI-restricted DNA fragments (data not shown). In addition, Southern blot hybridization of DNA fragments performed with strains of other Ralstonia species (R. solanacearum, R. basilensis, R. eutropha, R. gilardii, and R. paucula) by using each of the oxacillinase probes showed that blaOXA-60-like genes and blaOXA-22-like genes were not found, underlining the specificity of these oxacillinase genes for R. pickettii. These oxacillinase genes may be useful tools for species identification.


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  		TABLE 4. Amino acid substitutions for OXA-60-like ß-lactamases

 
Gene inactivation and induction studies. Expression of ß-lactamases OXA-22 and OXA-60 were studied in R. pickettii PIC-1, in R. pickettii PIC-1{Delta}OXA-60, and in R. pickettii PIC-1{Delta}OXA-22, respectively (Table 5). Truncated blaOXA-60 and blaOXA-22 genes were cloned into pACYC184 and introduced into R. pickettii PIC-1 by electroporation, leading to the disruption of the genomic copy of either the blaOXA-60 or blaOXA-22 genes. Inactivation of each oxacillinase gene resulted in a higher susceptibility to ß-lactams (Table 2). Indeed, inactivation of the blaOXA-60 gene resulted in a 4- to 16-fold decrease of MICs of ß-lactams for R. pickettii PIC-1{Delta}OXA-60, except for cephalothin, aztreonam, and moxalactam (Table 2). This suggests that OXA-22 has a minor contribution in resistance to ß-lactams of R. pickettii PIC-1{Delta}OXA-60. Inactivation of the blaOXA-22 gene resulted in a decrease of MICs of cephalothin and moxalactam (Table 2). The MICs of piperacillin, cefotaxime, cefoxitin, cefuroxime, and cefepime were decreased in blaOXA-60- and blaOXA-22-deficient strains, indicating that both ß-lactamases contribute to the resistance of R. pickettii to these substrates. Interestingly, the MICs of imipenem remained unchanged for blaOXA-22-deficient R. pickettii PIC-1, suggesting that OXA-60 alone played a role in reduced susceptibility to imipenem. Finally, these data showed that none of these oxacillinases contributed to resistance to aztreonam, which may result from another mechanism of resistance (e.g., penicillin-binding protein affinity).


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  		TABLE 5. ß-Lactamase activity of R. pickettii PIC-1 and isogenic mutants

 
IEF analysis confirmed that OXA-60 biosynthesis was detected only after induction in the OXA-22-deficient strain R. pickettii PIC-1, whereas OXA-22 biosynthesis was detected with or without induction in the OXA-60-deficient strain R. pickettii PIC-1 (data not shown).

Kinetic parameters indicated that no hydrolysis of cephalothin was observed for OXA-60, whereas it was the best cephalosporin substrate for OXA-22 (31), and that hydrolysis of piperacillin by OXA-60 occurred at a high level, whereas hydrolysis of piperacillin was not detectable for OXA-22.

Hydrolysis of piperacillin and cephalothin was used to identify the remaining ß-lactamase produced by each deficient R. pickettii PIC-1 strain. Hydrolysis of nitrocefin was used to estimate the overall ß-lactamase activity in the culture extracts. The specific activity of crude ß-lactamase extracts of cultures of R. pickettii PIC-1, R. pickettii PIC-1{Delta}OXA-22, and R. pickettii PIC-1{Delta}OXA-60 with or without induction was measured (Table 5). Hydrolysis of nitrocefin indicated that the level of ß-lactamase activity of the parental strain and of both OXA-60- and OXA-22-deficient R. pickettii PIC-1 strains was low and inducible, thus confirming that both oxacillinases produced were regulated (Table 5). Nevertheless, R. pickettii PIC-1{Delta}OXA-22 that produces only OXA-60 had a threefold-lower ß-lactamase expression after induction than the parental strain or than the R. pickettii PIC-1{Delta}OXA-60 strain. The absence of cephalothin hydrolysis by R. pickettii PIC-1{Delta}OXA-22 that produced only OXA-60 corresponded to the MICs (Table 2) and the kinetic parameters determined for OXA-60 (Table 3). R. pickettii PIC-1{Delta}OXA-60 that produced only OXA-22 showed a level of ß-lactamase activity similar to that of the parental strain and threefold higher as indicated by cephalothin hydrolysis. Kinetic parameters of OXA-22 could not be precisely determined for piperacillin, although MICs of R. pickettii PIC-1{Delta}OXA-22 showed that OXA-22 was responsible for part of the resistance of R. pickettii to piperacillin. The specific activity of crude ß-lactamase extracts of cultures of R. pickettii PIC-1{Delta}OXA-60 showed that OXA-22 accounted only for 7% of the hydrolysis of piperacillin (Table 5).

Regulation of oxacillinase gene expression has been documented for OXA-12 from Aeromonas spp. that is chromosomally located (2, 18, 37). In Aeromonas hydrophila, expression of three ß-lactamase genes is regulated by a two-component system regulator response, the activity of which depends on the phosphorylation state (30). This transcriptional control involves at least one direct repeat of a promoter-proximal DNA sequence motif, TTCAC, a "blr-tag" or "cre-tag" (3). None of these motifs have been found near the promoter of the blaOXA-60 gene. Furthermore, no LysR-type transcriptional regulator has been found surrounding the blaOXA-60 gene that could regulate the transcription of this gene (34).

The present study provides several interesting results. (i) Two nonrelated oxacillinases may be found naturally in a single bacterial species, further underlining the diversity of oxacillinases. (ii) Two oxacillinase genes may be regulated. (iii) Finally, another oxacillinase with carbapenem-hydrolyzing property has been characterized.


   ACKNOWLEDGMENTS
 
This study was funded by a grant from the Ministère de l'Education Nationale et de la Recherche (UPRES-EA 3539), Université Paris XI, Paris, France, and by the European Community (6th PCRD, LSHM-CT-2003-503-335).


   FOOTNOTES
 
* Corresponding author. Mailing address: Service de Bactériologie-Virologie, Hôpital de Bicêtre, 78 rue du Général Leclerc, 94275 Le Kremlin-Bicêtre Cédex, France. Phone: 33-1-45-21-36-32. Fax: 33-1-45-21-63-40. E-mail: nordmann.patrice{at}bct.ap-hop-paris.fr. Back


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 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
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Antimicrobial Agents and Chemotherapy, November 2004, p. 4217-4225, Vol. 48, No. 11
0066-4804/04/$08.00+0     DOI: 10.1128/AAC.48.11.4217-4225.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.



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