Extended-spectrum cephalosporinases in Pseudomonas aeruginosa

Antimicrob Agents Chemother. 2009 May;53(5):1766-71. doi: 10.1128/AAC.01410-08. Epub 2009 Mar 2.

Abstract

The characterization of AmpC-type beta-lactamases was performed in a collection of 32 clinical Pseudomonas aeruginosa isolates with intermediate susceptibility or resistance to imipenem and ceftazidime. Twenty-one out of those 32 isolates overexpressed AmpC beta-lactamase, and the MICs of ceftazidime and imipenem were reduced after cloxacillin addition. Cloning and sequencing identified 10 AmpC beta-lactamase variants. Reduced susceptibility to imipenem, ceftazidime, and cefepime was observed only with recombinant P. aeruginosa strains expressing an AmpC beta-lactamase that had an alanine residue at position 105. The catalytic efficiencies (k(cat)/K(m)) of the AmpC variants possessing this residue were increased against oxyiminocephalosporins and imipenem. In addition, we show here that those AmpC variants constitute a favorable background for the in vitro selection of imipenem-resistant strains. This report identified a novel resistance mechanism that may contribute to imipenem resistance in P. aeruginosa.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Bacterial Proteins / classification
  • Bacterial Proteins / genetics
  • Bacterial Proteins / metabolism*
  • Ceftazidime / pharmacology
  • Cephalosporinase / classification
  • Cephalosporinase / genetics
  • Cephalosporinase / metabolism
  • Humans
  • Imipenem / pharmacology
  • Microbial Sensitivity Tests
  • Molecular Sequence Data
  • Pseudomonas aeruginosa / drug effects*
  • Pseudomonas aeruginosa / enzymology*
  • Pseudomonas aeruginosa / genetics
  • Sequence Analysis, DNA
  • beta-Lactam Resistance
  • beta-Lactamases / classification
  • beta-Lactamases / genetics
  • beta-Lactamases / metabolism*
  • beta-Lactams / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • beta-Lactams
  • Imipenem
  • Ceftazidime
  • Cephalosporinase
  • AmpC beta-lactamases
  • beta-Lactamases

Associated data

  • GENBANK/FJ666064
  • GENBANK/FJ666065
  • GENBANK/FJ666066
  • GENBANK/FJ666067
  • GENBANK/FJ666068
  • GENBANK/FJ666069
  • GENBANK/FJ666070
  • GENBANK/FJ666071
  • GENBANK/FJ666072
  • GENBANK/FJ666073