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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
-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
-lactamase with an isoelectric point of 7.7 and a resistance phenotype characteristic of an AmpC (class 1)
-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
-lactamases. Multiple alignment of the deduced amino
acid sequence with 21 other AmpC
-lactamases
demonstrates only very distant homology, reaching at maximum 52.3%
identity for the chromosomal AmpC
-lactamase of
Serratia marcescens SR50. The
-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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