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Antimicrobial Agents and Chemotherapy, January 2009, p. 323-326, Vol. 53, No. 1
0066-4804/09/$08.00+0 doi:10.1128/AAC.00608-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

Service de Bactériologie-Hygiène, Centre hospitalier universitaire d'Amiens, Hôpital Nord, 80000 Amiens, France,1 Service de Bactériologie-Virologie-Hygiène, Unité INSERM 914 Emerging Resistance to Antibiotics, Hôpital de Bicêtre, Assistance Publique/Hôpitaux de Paris, Faculté de Médecine et Université Paris Sud, 94275 le K.-Bicêtre, France,2 Center for Protein Engineering, Université de Liège, Liège B-4000, Belgium3
Received 8 May 2008/ Returned for modification 10 August 2008/ Accepted 3 November 2008
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In wild-type E. coli isolates, the chromosomal AmpC β-lactamase is usually produced at a low level due to a weak promoter (1). Mutations in the promoter region may induce a constitutive overproduction of the enzyme responsible for resistance to early-generation cephalosporins.
Recently, cephalosporinases with broadened substrate activity have been reported among E. coli isolates of the phylogenetic groups A or B1 (6, 9). These extended-spectrum AmpC (ESAC) β-lactamases derived from the parental wild-type enzymes by either insertion, deletion, or amino acid substitutions in the R2 binding site (Fig. 1) (11). The ESAC β-lactamases exhibited increased catalytic efficiencies toward all the extended-spectrum cephalosporins (ESCs) and also slightly against imipenem (5, 10). They conferred resistance to ceftazidime, reduced significantly susceptibilities to cefotaxime and cefepime (11), and also reduced susceptibilities to ertapenem and imipenem in combination with decreased membrane permeability (7). Recent studies identified the S287N replacement as a frequent source of hydrolysis-spectrum extension in the AmpC β-lactamase of E. coli (6, 9).
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FIG. 1. Ribbon representation of the crystallographic structure of the E. coli K-12 β-lactamase bound to ceftazidime (14). The atomic coordinates are available on the Internet (www.ncbi.nlm.nih.gov/entrez) with the accession number 1IEL. The representation has been determined using the software Swiss-Pdb Viewer available on the Internet (www.expasy.org/spdbv/) (4, 12, 13). The antibiotic is represented inside the active site. The ribbon representation has been used for the following secondary structures involved in the substrate recognition: helix H-11, helix H-9, helix H-10, the R2 loop, β strand B-3, and the loop. The R1 binding site, which accommodates the oxyimino substituent (R1) at position C-7 of the β-lactam nucleus in ESCs, is surrounded by the loop, whereas the R2 binding site represents the opposite region interacting with the right part of the β-lactam ring including the R2 side chain at C-3 and the carboxylate group at C-4.
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The mutagenesis experiments were performed using the site-directed mutagenesis kit (Stratagene), the recombinant plasmids pAmpC-A and pAmpC-B2 as templates, and the primer pairs EC2-S287N-1 (5'-CTGACAGCATCATTAACGGCAATGGCAATAAAATTGCACTGGCAG-3') and EC2-S287N-2 (5'-CTGCCAGTGCAATTTTATTGCCATTGCCGTTAATGATGCTGTCAG-3') and EC6-S287N-1 (5'-CTGACATCATCATTAACGGCAATGACAATAAAATTGCACTG GCAG-3') and EC6-S287N-2 (5'-CTGCCAGTGCAATTTTATTGTCATTGCCGTTAATGATGATGTCAG-3'), respectively. It gave rise to the recombinant plasmids pAmpC-A-S287N and pAmpC-B2-S287N, respectively, which were subsequently transformed into E. coli TOP10 (Stratagene). A sequence analysis of the inserts confirmed the presence of the expected mutation which led to the S287N replacement in the mature β-lactamases AmpC-A-S287N and AmpC-B2-S287N, respectively.
Analysis of the MICs (Table 1), which were determined as previously described (10), showed that the wild-type cephalosporinases AmpC-A and AmpC-B2 conferred almost identical levels of resistance to β-lactams, although the MICs for E. coli TOP10(pAmpC-A) were twofold higher than those for E. coli TOP10(pAmpC-B2). AmpC-A and AmpC-B2 conferred high levels of resistance to narrow-spectrum cephalosporins, such as cefalotin and cefoxitin, but spared ESCs, according to CLSI criteria (3).
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TABLE 1. MICs of β-lactams for the recombinant clones E. coli TOP10(pAmpC-A), E. coli TOP10(pAmpC-A-S287N), E. coli TOP10(AmpC-B2), E. coli TOP10(pAmpC-B2-S287N), and the recipient strain E. coli TOP10
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A kinetic analysis was performed for the variants and their parental β-lactamases as previously described (10). AmpC enzymes were purified to near homogeneity (>95%) as determined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis analysis. The catalytic efficiencies (kcat/Km) of the purified wild-type β-lactamase AmpC-A against cephalosporins and imipenem mirrored those of the purified wild-type AmpC-B2, although they were 2- to 10-fold higher, which was mainly due to lower Km values (Table 2).
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TABLE 2. Kinetic parameters of the wild-type cephalosporinases AmpC-A and AmpC-B2 and their corresponding variants harboring the S287N replacement
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This study highlighted the contribution of the S287N replacement in the hydrolysis-spectrum extension of class C β-lactamases. It revealed that the natural polymorphism of AmpC in E. coli may constitute a genetic background facilitating the emergence of resistant mutants among E. coli clinical isolates of group A and its closely related phylogenetic group, B1. It should explain, almost in part, the high prevalence of strains belonging to these phylogenetic groups among ESAC-producing E. coli clinical isolates (6, 9, 10).
Interestingly, the wild-type AmpC β-lactamase produced by Serratia marcescens and the plasmid-borne CMY-1 β-lactamase and its derivatives, such as CMY-10, have an asparagine residue at position 287. These enzymes conferred higher levels of resistance to ESCs than the wild-type AmpC β-lactamases of E. coli (5, 8). Therefore, Asn-287 may contribute in part to the natural expanded spectrum of these cephalosporinases, although other structural discrepancies, such as a shortened R2 loop for the CMY-1-like β-lactamases (5), may also be involved.
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Published ahead of print on 10 November 2008. ![]()
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