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Antimicrobial Agents and Chemotherapy, March 2006, p. 962-967, Vol. 50, No. 3
0066-4804/06/$08.00+0 doi:10.1128/AAC.50.3.962-967.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Cátedra de Microbiología, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Junín 954, Buenos Aires 1113, Argentina;,1 Centre d'Ingénierie des Protéines, Université de Liège, Institut de Chimie, B6 (B4000), Sart Tilman, Belgium;,2 Centro de Biología Molecular "Severo Ochoa," CSIC-UAM, Campus de Cantoblanco 28049, Madrid, Spain3
Received 10 August 2005/ Returned for modification 4 October 2005/ Accepted 27 November 2005
| ABSTRACT |
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| INTRODUCTION |
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In general, AmpC ß-lactamases are poorly inhibited by mechanism-based ß-lactamase inhibitors such as clavulanate and hydrolyze cephalosporins and penicillins with similar catalytic efficiencies (7, 21). Morganella morganii displays an unusual inhibition by tazobactam combinations, with lower MICs than other AmpC producers (1, 20).
With some exceptions, chromosome-encoded class C ß-lactamases are inducible, but a majority of those clinical isolates that are highly resistant exhibit (in the absence of other acquired ß-lactamases) a derepressed constitutive phenotype which results in a large production of enzyme in the periplasm (18, 20).
In Morganella morganii, the inducible phenotype is the most frequent for the production of chromosomally encoded AmpC (20). Nucleotide sequences corresponding to several enzymes from Morganella, both chromosomally and plasmid encoded, have been reported and deposited in databases (3, 4, 11, 31). Reported pIs for these enzymes usually range between 7.2 and 7.6, although other pIs were also reported (3, 31, 36, 38). The plasmid-encoded DHA-1 and DHA-2 ß-lactamases, apparently derived from the Morganella AmpC enzyme and reported in several countries around the world, are always inducible, like their chromosome-encoded counterparts (2, 12, 19, 37, 39).
In the present study, we describe the phenotypic characteristics of three new variants of chromosomally encoded AmpC ß-lactamases from clinical isolates of Morganella morganii, including their kinetic properties toward selected ß-lactam compounds.
| MATERIALS AND METHODS |
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Antimicrobial susceptibility. MICs were determined by the agar dilution method, following CLSI's guidelines, using a Steers multipoint inoculator (29). Detection of inducible ß-lactamases was performed by a double-disk test, placing 30 µg cefoxitin and 60 µg 6-amino-penicillanic acid (6-APA) disks 20 mm away from either 30-µg cefotaxime or ceftazidime disks as previously described (9). All disks were from Britania, Argentina.
Production and induction of ß-lactamases. Overnight cultures at 37°C in Luria-Bertani (LB) broth were diluted 1/50 into fresh LB broth and incubated on an orbital shaker (300 rpm) at 37°C until an optical density at 600 nm of 0.3 to 0.4 was reached. A subinhibitory concentration of inducer (5 µg/ml cefoxitin or 50 µg/ml 6-APA) was added, and incubation was continued for 2 to 4 h. Crude lysates were obtained as described before (32).
Determination of ß-lactamase activity.
ß-Lactamase activity was routinely determined spectrophotometrically by measuring the hydrolysis of 100 µM cephalothin as a substrate (
= 273 nm; 
M = 6,300 M1 · cm1). One unit of ß-lactamase activity was defined as the amount of enzyme which hydrolyzes 1 µmol of substrate per min (in 20 mM phosphate buffer, pH 7.0) at 30°C; the specific activity was defined as the units of AmpC per milligram of protein determined by using the Bio-Rad Protein Assay kit (Bio-Rad).
IEF. Analytical isoelectric focusing (IEF) was performed in broad-range (pH 3 to 10) polyacrylamide gels (24), using protein standards (Pharmacia) and enzymes of known pIs (TEM-1, SHV-2, P99, CTX-M-2) as markers. ß-Lactamase activity was detected by an iodometric overlay system using 500 µg/ml cephalothin and 500 µg/ml benzylpenicillin as substrates (32). In situ inhibition of AmpC ß-lactamases was assayed after IEF by first soaking the gel in 1 mM ß-lactamase inhibitor solutions (lithium clavulanate, EDTA, and aztreonam) for 30 min and detection of the remaining ß-lactamase activity as described above.
Recombinant DNA methodology and DNA sequencing. Basic recombinant DNA procedures were carried out as described by Sambrook et al. (33). Chromosomal DNA was extracted by a modification of the original method described by Gerhardt et al. (15). For cloning ampC-ampR genes from M. morganii strain PP19, genomic DNA was partially digested with KpnI (Amersham Pharmacia) and resulting fragments (between 1 and 5 kb) were purified from 1% agarose gels and ligated to KpnI-linearized and dephosphorylated pMCL210 vector. For PCR-based cloning, reaction mixtures contained 3 U Pfu polymerase (Promega), 0.2 to 0.5 µg DNA, 2 mM MgSO4, 0.3 mM (each) deoxynucleoside triphosphate, and 0.6 µM (each) primer. PCRs were performed in a Biometra T-Gradient apparatus; cycling parameters were as follows: initial denaturation for 3 min at 95°C; 30 cycles of denaturation at 95°C for 1 min, annealing at 55 to 60°C for 1 to 2 min, and polymerization at 73°C for 3 to 4 min; and final polymerization at 73°C for 20 min. Construction of pMC-1922: the ampC gene was amplified from pMCR19-2 by PCR using primers MOR-2F (5'-TCT GTC TGG TGA ATC TGA CGA-3'; accession no. AF055067) and MOR-E3R (5'-ACA CAG TGA ATT CCG GTT CAG CGG-3', EcoRI site underlined). The fragment was digested with EcoRI (Boehringer, Germany) and subcloned into the pMCL210 vector digested with SmaI and EcoRI. M. morganii strain PP29 and PP37 ampC genes were amplified using primers MOR-H2F (5'-CTG GTG AAG CTT ACG ATA CTT GCC-3'; accession no. AF055067) and MOR-E3R and ligated in a pGEM-T Easy Vector System (Promega) following manufacturer's guidelines. Ligation mixtures were used to transform competent E. coli Top10 F' cells (Invitrogen), and recombinant clones were selected on LB agar plates supplemented with 30 µg/ml chloramphenicol and 50 µg/ml ampicillin (for pMCL210-based constructions) or 100 µg/ml ampicillin, 30 µM IPTG (isopropyl-ß-D-thiogalactopyranoside; Sigma Chemical Co.), and 80 µg/ml X-Gal (5-bromo-4-chloro-3-indolyl-ß-D-galactopyranoside; Boehringer, Germany). The DNA sequences on both strands were determined by the automated dideoxy-chain termination method of Sanger (34) in an ABI PRISM 3700 DNA Analyzer (Applied Biosystems, Hitachi). Sequence analyses were performed by using NCBI (http://www.ncbi.nlm.nih.gov/) and EBI (http://www.ebi.ac.uk/) analysis tools.
Purification of AmpC ß-lactamases. Clear supernatants containing the AmpC ß-lactamases were loaded onto a Sephadex G-100 column (2.0 by 20 cm; Pharmacia-LKB, Sweden) equilibrated with 20 mM Tris-HCl buffer, pH 7.5. Elution was performed with the same buffer, and active fractions were collected. The sample was then loaded onto a CM-Sepharose column (5.0 by 20 cm; Pharmacia-LKB, Sweden) and connected to a Pharmacia LC-250 fast-protein liquid chromatography system equilibrated with the same buffer. The column was extensively washed to remove unbound proteins, and ß-lactamases were eluted with a linear gradient of NaCl (0 to 1 M) in the same buffer. Fractions containing ß-lactamase activity were pooled, dialyzed overnight at 4°C against 10 mM phosphate buffer, pH 7.5, and concentrated 10 times in an Amicon 8200 system (Millipore). Active fractions were detected in all cases by their hydrolytic activity on 100 µM nitrocefin. After each purification step, samples were loaded on a 12% polyacrylamide gel and resolved by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (17), in order to assess their purification degree.
Determination of the N-terminal amino acid sequence. The N-terminal amino acid sequence of the mature AmpC variants was characterized using a gas phase sequencer (Applied Biosystems) as previously described (6).
Determination of kinetic parameters.
Hydrolysis of ß-lactam antibiotics by purified enzymes was monitored by following the absorbance variation, using an Uvikon 860 spectrophotometer equipped with thermostatically controlled cells. Cells with 0.2- to 1.0-cm path lengths were used, depending on the substrate concentration. Reactions were performed in a total volume of 500 µl at 30°C. For good substrates, the steady-state kinetic parameters (Km and kcat) were determined under initial rate conditions by using the Hanes-Woolf linearization of the Henri-Michaelis-Menten equation as described by De Meester et al. (8). Low Km values were determined as competitive inhibition constants, Ki, in the presence of nitrocefin as a good reporter substrate. When the ß-lactam behaved as a poor substrate or inactivator, the residual activity of the enzyme in the presence of the drug was monitored using 100 µM nitrocefin as a reporter substrate. The pseudo-first-order inactivation constants, kis, were computed, and the different constants were calculated as previously reported (8). Tested antibiotics and inhibitors included benzylpenicillin (
M235 = 775 M1 · cm1), ampicillin (
M235 = 820 M1 · cm1), carbenicillin (
M235 = 780 M1 · cm1), piperacillin (
M235 = 820 M1 · cm1), nitrocefin (
M482 = 15,000 M1 · cm1), cephalothin (
M273 = 6,300 M1 · cm1), cefoxitin (
M260 = 6,600 M1 · cm1), cefotaxime (
M260 = 7,500 M1 · cm1), ceftazidime (
M260 = 9,000 M1 · cm1), cefepime (
M260 = 10,000 M1 · cm1), aztreonam (
M318 = 750 M1 · cm1), imipenem (
M300 = 9,000 M1 · cm1), and tazobactam (
M235 = 1,800 M1 · cm1).
Protein structure prediction and 3D modeling.
A prediction of the
-helix content of AmpC ß-lactamases was performed with AGADIR software (25), and theoretical three-dimensional (3D) models for the enzymes were predicted by using the Swiss-Model tool (http://swissmodel.expasy.org) and constructed with SwissProt Pdb Viewer 3.7 (35).
Nucleotide sequence accession numbers. Sequence data were deposited in the GenBank/EMBL nucleotide databases under accession no. AJ620115, AJ620362, and AJ620363.
| RESULTS AND DISCUSSION |
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In vitro selection and analysis of AmpC hyperproducers. M. morganii mutants with derepressed expression of AmpC were obtained by incubating the bacteria in the presence of increasing concentrations of oxyimino-cephalosporins. Selection frequency ranked between 5.108 and 2.106 in accordance with that obtained for the in vivo selection of derepressed mutants of AmpC producers (i.e., Enterobacter spp.) during oxyimino-cephalosporin therapy (20). All mutants produced an enzyme with pIs identical to those of their parental wild-type AmpCs (data not shown).
Susceptibility testing of M. morganii strains. Antimicrobial susceptibilities of both wild-type and mutant strains were determined (Table 1). A typical pattern was observed in wild-type strains, with resistance to aminopenicillins and in combination with clavulanate, cephalothin, and cefoxitin. Inhibition by tazobactam combinations was also observed, in agreement with previous reports (1). Mutants showed patterns that are similar to those of Morganella derepressed mutants: resistance to piperacillin and reduced susceptibility to oxyimino-cephalosporins, cefoxitin, and aztreonam. As expected, double-disk assays for the detection of inducible ß-lactamases failed when these mutant strains were analyzed (data not shown).
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Sequence of ampC genes and structural analysis of cephalosporinases. The entire inserts from recombinant plasmids pMCR19-2, pGMC29-31, and pGMC37-43 (the latter were pGEM-T derivatives containing a PCR-amplified copy of the ampC genes from M. morganii strains PP29 and PP37, respectively) were sequenced in both strands. Analysis of these inserts for coding regions showed an open reading frame of 1,137 bp, encoding a deduced 379-amino-acid peptide, with at least 98% and 97% identities within them and with other AmpCs from M. morganii, respectively.
The N-terminal sequence of mature ß-lactamase was Ala-Asp-Asn-Val-Ala-Ala-Val. Therefore, the pre-ß-lactamase contained a 23-amino-acid signal peptide and mature AmpC ß-lactamases consisted of 356-amino-acid proteins. These results are in agreement with the theoretical determination of the signal peptide by SignalP V2.0 (30).
By comparing the sequences of mature AmpCs from the three M. morganii isolates with the other available sequences within the species, we could describe three new variants of AmpC ß-lactamases (Table 2). AmpC from M. morganii strain PP37 (AmpC M37) seems to be related to GUI-1 (3, 4, 11, 31), which is identical to plasmid-borne DHA-1 (3, 4, 11, 31), displaying a single amino acid change, Met79Thr (99.7% identity). On the other hand, AmpCs from M. morganii strains PP29 and PP19 (AmpC M29 and M19) appear to be more related to the enzyme from M. morganii strain SLM01 (3), presenting one mutation, Glu167Asp (M29, 99.7% identity), and two mutations, Arg138Trp and Ala239Thr (M19, 99.4% identity), respectively.
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-helix domains and theoretical 3D models were built using the X-ray structure of the Escherichia coli AmpCs, which is the closest enzyme available (65.7% similarity) (35). Resulting models obtained for the three variants gave similar results, showing a strict correspondence in the position of the class C conserved motifs and domains with known crystals. Figure 1 shows the predicted 3D model of AmpC from M. morganii strain PP29. Mutations occurring in our variants seem to be located on the surface of the molecule and not associated with any catalytically important residue. Therefore, we expected a similar kinetic behavior between all these AmpC variants and probably compared to other cephalosporinases. The Arg138Trp mutation in AmpC M19 could lead to a pI decrease from 7.4 to 6.6 when compared to AmpC SLM01 (Table 2).
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A DNA intercistronic sequence between the divergently transcribed ampR and ampC genes is also found in M. morganii strain PP19, showing the characteristics of the hypothetical AmpR-binding site (5). As in other Morganella strains, the intercistronic region is shorter (110 bp) than in other species, such as C. freundii (131 bp), Enterobacter cloacae (132 bp), and Y. enterocolitica (134 bp).
Purification and kinetic parameters of AmpC variants. AmpC M19, AmpC M29, and AmpC M37 were purified; 1.54 to 2.1 mg of purified enzyme per liter of culture was obtained after purification, with a final yield of 22 to 34%.
The main kinetic parameters for AmpC M29 (taken as representative) are shown in Tables 3 and 4, and some differences with other AmpC enzymes have been addressed previously (13, 14, 21).
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Morganella AmpC showed a higher catalytic efficiency for ampicillin (0.5 µM1 · s1) than benzylpenicillin (0.03 µM1 · s1), whereas for enzymes from other species, the opposite behavior usually takes place (14, 21). A better environment for the stabilization of amino-substituted penicillins probably exists in the catalytic site of Morganella AmpCs, but only the determination of the crystallographic structure of these enzymes will finally elucidate some of the presented results.
The high catalytic efficiency of piperacillin and oxacillin compared with that of other penicillins was noteworthy. As generally accepted, oxacillin and its chlorinated derivatives usually behave as poor substrates or even transient inactivators of this class of enzymes (14). In this case, oxacillin showed a high catalytic efficiency due to very low Km values (Table 3). Probably in Morganella variants, a higher efficiency for releasing the hydrolyzed molecule (high k+3 values) also occurs, leading to the increased kcat/Km values that we observed.
The catalytic efficiency against imipenem was significantly higher than that observed for class A ß-lactamases (21). Furthermore, for some other AmpC ß-lactamases, imipenem behaves as a transient inactivator instead (13). Carbapenems seem to be more efficiently hydrolyzed by Morganella AmpC than other variants, and this could (if associated with a lower permeability of this drug) be giving the high MICs observed in the isolates under study (Table 1).
Like other chromosome- and plasmid-encoded class C ß-lactamases, Morganella AmpC displayed high catalytic efficiencies toward most of the tested cephalosporins. For nitrocefin and cephalothin, the high kcat/Km values apparently demonstrate that even with a high Km value, a fast turnover of the active site (higher kcat) occurs. This could be equivalent to the behavior of some class A ß-lactamases against penicillins (13, 23).
Cefoxitin seems to be efficiently hydrolyzed by AmpCs from Morganella. Whereas cephamycins are efficiently hydrolyzed by class C enzymes, class A ß-lactamases lack an efficient hydrolysis of these compounds, probably because of a displacement of the water molecule involved in the hydrolysis step by the cephamycin's 7
-methoxy moiety (22). The kcat/Km values toward oxyimino-cephalosporins, especially cefotaxime, are in good agreement with those reported for other Enterobacteriaceae (13). Cefepime was, on the contrary, hydrolyzed more than 1,000-fold less efficiently than other cephalosporins, explaining the remarkable stability of these compounds against Morganella AmpC ß-lactamases, even when they are overproduced by derepression.
It was noteworthy that carbenicillin (often a good substrate for many class A ß-lactamases) and aztreonam behaved as apparent poor substrates of AmpC (Table 4). The interaction between AmpC M29 and these compounds is characterized by a high acylation efficiency (k+2/K
1 µM1 · s1) and a slow deacylation of the acyl-enzyme complex (low k+3), making these compounds behave as transient inactivators. For carbenicillin, k+2 (acylation rate constant) is almost 90-fold higher than k+3 (deacylation rate constant), in agreement with the behavior of poor substrates or even transient inactivators (14). Further studies are necessary in order to explain this unusual behavior.
Morganella morganii AmpC M29 is better inhibited by tazobactam than other class C enzymes. This compound displayed a relatively fast acylation step (k+2/K = 1.4 x 102 µM1 · s1) but a slow deacylation step (k+3 = 0.017 s1). Taking into account the apparently high catalytic efficiency of Morganella AmpC toward piperacillin and their inactivation by tazobactam, we assume that the latter could slightly protect the penicillin due to a rapid acylation of the active site by tazobactam. MICs support this idea of a partial protection of piperacillin by tazobactam, which was not observed in other AmpC-producing enterobacterial species.
All three variants of AmpC from Morganella showed similar kinetic parameters, with the most relevant similarities and differences presented in Table 5. The main differences, especially in their catalytic efficiencies, were observed within the cephalosporins, though these drugs seem to be better substrates than penicillins. The AmpC from M. morganii strain PP19 seems to hydrolyze cefotaxime 10-fold less efficiently than the other two variants, but the variant from M. morganii strain PP37 appears to be 5- to 10-fold less efficient in hydrolyzing cephalothin.
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| ACKNOWLEDGMENTS |
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G.G. is a member of Carrera del Investigador Científico (CONICET).
| FOOTNOTES |
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| REFERENCES |
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-face of the ß-lactam ring: kinetic and molecular modelling studies. Biochem. J. 293:607-611.This article has been cited by other articles:
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