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Mechanisms of Resistance

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

Adolf Bauernfeind, Ines Schneider, Renate Jungwirth, Hany Sahly, Uwe Ullmann
Adolf Bauernfeind
Max von Pettenkofer Institute, Munich, and
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Ines Schneider
Max von Pettenkofer Institute, Munich, and
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Renate Jungwirth
Max von Pettenkofer Institute, Munich, and
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Hany Sahly
Institute for Medical Microbiology and Virology, Kiel, Federal Republic of Germany
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Uwe Ullmann
Institute for Medical Microbiology and Virology, Kiel, Federal Republic of Germany
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DOI: 10.1128/AAC.43.8.1924
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  • Fig. 1.
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    Fig. 1.

    Double-disk test to check inducibility of ACC-1 synthesis. (a) Inducibility test with K. pneumoniae KUS. (b) Inducibility test with Enterobacter cloacae WG7250. Disks: 1, cefoxitin; 2, ceftazidime; 3, cefotaxime; 4, cefotetan; 5, aztreonam.

  • Fig. 2.
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    Fig. 2.

    Isoelectric focusing of β-lactamase ACC-1. The ACC-1 producing wild-type, transconjugant, and transformant strains revealed a band at a pI lower than 7.8 (SHV-4) but slightly above 7.6 (SHV-2), at about 7.7 (a). This band was able to inactivate ceftazidime, as shown by a bioassay (b). Lanes for panel a: A,K. pneumoniae KUS producing ACC-1; B, E. coli C600 R+ producing ACC-1; C, E. coliDH5α T+ producing ACC-1; D, E. coliR+ producing SHV-2. Lanes for panel b: A, E. coli R+ producing SHV-4; B, E. coliR+ producing SHV-2; C, K. pneumoniae KUS producing ACC-1; D, E. coli C600 R+ producing ACC-1; E, E. coli DH5α T+ producing ACC-1.

  • Fig. 3.
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    Fig. 3.

    Nucleotide sequence of theblaACC-1 gene (pMVP-8). The deduced amino acid sequence of ACC-1 is shown in the line below the nucleotide triplets. Amino acids of the signal peptide are written in small letters. The β-lactamase active site S-L-S-K, the conserved triad K-T-G, and the class C-typical motif Y-X-N are underlined. The putative −10 and −35 promoter regions upstream of the start codon are underlined. The asterisk indicates the stop codon.

  • Fig. 4.
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    Fig. 4.

    Multiple alignment of amino acid sequences of the chromosomal AmpC β-lactamase of S. marcescens(32), CMY-2 (6), FOX-2 (8), and ACC-1 (this study).

  • Fig. 5.
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    Fig. 5.

    Dendrogram for 22 AmpC (group 1) β-lactamases (calculated by Clustal V using the neighbor-joining method of Saitou and Nei [34]). According to the identity of their amino acid sequences with CMY-2, the group 1 β-lactamases might be subclassified into 1a to 1i.

Tables

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  • Table 1.

    Bacterial strains used in this study

    StrainPlasmidCharacteristicspI(s) of β-lactamases
    K. pneumoniaeKUSpMVP-8Clinical isolate from sputum, Kiel, Germany5.4, 7.7
    E. coli C600Rifampin resistantNone
    E. coliMV1190lac−None
    E. coli C600pMVP-8Transconjugant of KUS5.4, 7.7
    E. coli MV1190pBCChloramphenicol-resistant cloning vectorNone
    E. coliMV1190Transformant of KUS containing a 2.3-kb fragment cloned into pBC7.7
  • Table 2.

    Antibiotic susceptibilities of the wild-type K. pneumoniae KUS, the transconjugant E. coli C600 R+, the transformant E. coli MV1190 T+, and the recipient E. coliC600 R−

    AntibioticMIC (μg/ml) for:
    Wild-type K. pneumoniae KUSTransconjugant E. coliC600 R+Recipient E. coli C600 R−Transformant E. coli MV1190 T+Host E. coli MV1190 T−
    Ceftazidime64160.13320.06
     Plus clavulanate32160.13160.06
     Plus sulbactam32160.13160.06
     Plus tazobactam32160.13320.06
     Plus BRL 4271510.50.1310.06
     Plus Ro 47-828410.50.130.50.06
    Cefotaxime1640.0680.03
    Cefotetan410.1320.06
     Plus clavulanate410.0620.06
     Plus sulbactam410.0620.06
     Plus tazobactam410.0620.06
     Plus BRL 4271510.250.060.50.06
     Plus Ro 47-82840.50.250.060.50.06
    Cefoxitin42242
    Moxalactam10.250.0610.13
    Flomoxef20.50.0610.13
    Cefpirome40.250.0310.03
    Cefepime0.250.130.0160.250.016
    Aztreonam20.50.0610.06
    Piperacillin5122560.5320.5
     Plus tazobactam64160.5320.5
    Temocillin24444
    Imipenem0.130.250.250.130.25
    Meropenem0.030.030.030.030.03
  • Table 3.

    Kinetic data for ACC-1

    SubstrateVmax (nmol of substrate/ min/μg of protein)RelativeVmaxKm(μM)Vmax/Km
    Cephaloridine30.7 ± 3.0100122 ± 160.25
    Nitrocefin63.7 ± 2.220828 ± 3.72.3
    Piperacillin0.17 ± 0.050.551.4 ± 0.60.12
    Ceftazidime<0.025≤0.117a<0.01
    Cefotaxime<0.01 <0.02NDbND
    Cefotetan<0.001<0.01NDND
    Cefoxitin<0.002<0.01NDND
    • ↵a Ki value was determined by using cephaloridine as substrate.

    • ↵b Rates were too slow to determine aKm from steady-state hydrolysis rates.

  • Table 4.

    Identity of amino acid sequences of ACC-1 to other class C β-lactamases

    β-Lactamase (reference)a% Identity with:
    ACC-1S. marcescens AmpCFOX-2CMY-1P. aeruginosa AmpCC. freundii AmpCE. coli AmpCEnterobacter cloacae AmpCM. morganii AmpC
    ACC-110052.346.443.943.739.538.837.937.2
    S. marcescens AmpC (31)10045.644.544.938.338.941.539.8
    FOX-2 (8)10074.953.741.842.043.946.3
    CMY-1 (7)10054.441.241.143.143.5
    P. aeruginosa AmpC (26)10041.942.744.154.4
    C. freundii AmpC (25)10076.773.257.2
    E. coli AmpC (24)10069.857.9
    Enterobacter cloacae AmpC (17)10055.1
    M. morganii AmpC (1)100
    • ↵a One representative of each group of the seven AmpC types (Fig. 5) was selected for comparison.

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A Novel Type of AmpC β-Lactamase, ACC-1, Produced by a Klebsiella pneumoniae Strain Causing Nosocomial Pneumonia
Adolf Bauernfeind, Ines Schneider, Renate Jungwirth, Hany Sahly, Uwe Ullmann
Antimicrobial Agents and Chemotherapy Aug 1999, 43 (8) 1924-1931; DOI: 10.1128/AAC.43.8.1924

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A Novel Type of AmpC β-Lactamase, ACC-1, Produced by a Klebsiella pneumoniae Strain Causing Nosocomial Pneumonia
Adolf Bauernfeind, Ines Schneider, Renate Jungwirth, Hany Sahly, Uwe Ullmann
Antimicrobial Agents and Chemotherapy Aug 1999, 43 (8) 1924-1931; DOI: 10.1128/AAC.43.8.1924
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KEYWORDS

Bacterial Proteins
Cross Infection
Klebsiella Infections
Klebsiella pneumoniae
Pneumonia, Bacterial
beta-lactamases

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