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Antimicrobial Agents and Chemotherapy, August 1999, p. 1924-1931, Vol. 43, No. 8
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

A Novel Type of AmpC beta -Lactamase, ACC-1, Produced by a Klebsiella pneumoniae Strain Causing Nosocomial Pneumonia

Adolf Bauernfeind,1,* Ines Schneider,1 Renate Jungwirth,1 Hany Sahly,2 and Uwe Ullmann2

Max von Pettenkofer Institute, Munich,1 and Institute for Medical Microbiology and Virology, Kiel,2 Federal Republic of Germany

Received 16 October 1998/Returned for modification 15 February 1999/Accepted 7 June 1999

A Klebsiella pneumoniae strain resistant to oxyimino cephalosporins was cultured from respiratory secretions of a patient suffering from nosocomial pneumonia in Kiel, Germany, in 1997. The isolate harbors a bla resistance gene located on a transmissible plasmid. An Escherichia coli transconjugant produces a beta -lactamase with an isoelectric point of 7.7 and a resistance phenotype characteristic of an AmpC (class 1) beta -lactamase except for low MICs of cephamycins. The bla gene was cloned and sequenced. It encodes a protein of 386 amino acids with the active site serine of the S-X-X-K motif at position 64, as is characteristic for class C beta -lactamases. Multiple alignment of the deduced amino acid sequence with 21 other AmpC beta -lactamases demonstrates only very distant homology, reaching at maximum 52.3% identity for the chromosomal AmpC beta -lactamase of Serratia marcescens SR50. The beta -lactamase of K. pneumoniae KUS represents a new type of AmpC-class enzyme, for which we propose the designation ACC-1 (Ambler class C-1).


* Corresponding author. Mailing address: Max von Pettenkofer-Institut, Pettenkoferstr. 9a, 80336 Munich, Germany. Phone: 0049-89-5160 5268. Fax: 0049-89-5160 5266. E-mail: Adolf.Bauernfeind{at}mvp-bak.med.uni-muenchen.de.


Antimicrobial Agents and Chemotherapy, August 1999, p. 1924-1931, Vol. 43, No. 8
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.



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