Abstract
Multiresistant Klebsiella pneumoniae strains isolated from three patients in the same intensive care unit were more resistant to ceftazidime than to cefotaxime and aztreonam but remained susceptible to moxalactam and imipenem. Resistance to beta-lactams, kanamycin, streptomycin, sulfonamides, and tetracyclines was transferable to Escherichia coli by conjugation and was lost en bloc after treatment with ethidium bromide. Agarose gel electrophoresis of wild types and transconjugants indicated that these resistances were mediated by a 150-kilobase plasmid, pCFF14. The strains constitutively produced a beta-lactamase with isoelectric point close to 5.6 and which had a higher Vmax for ceftazidime and cephalothin than for cefotaxime. The substrate profile and isoelectric point of this enzyme thus differ from those of other known plasmid-mediated beta-lactamases, including the broad-spectrum enzyme CTX-1. Hybridization studies support the derivation of the novel enzyme from a TEM-type beta-lactamase.
Full text
PDF




Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bachmann B. J. Pedigrees of some mutant strains of Escherichia coli K-12. Bacteriol Rev. 1972 Dec;36(4):525–557. doi: 10.1128/br.36.4.525-557.1972. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Barthélémy M., Peduzzi J., Verchère-Beaur C., Ben Yaghlane H., Labia R. Purification and biochemical properties of Pitton's type 2 beta-lactamase (SHV-1). Ann Inst Pasteur Microbiol. 1986 Jul-Aug;137B(1):19–27. doi: 10.1016/s0769-2609(86)80090-4. [DOI] [PubMed] [Google Scholar]
- Bauernfeind A., Hörl G. Novel R-factor borne beta-lactamase of Escherichia coli confering resistance to cephalosporins. Infection. 1987 Jul-Aug;15(4):257–259. doi: 10.1007/BF01644127. [DOI] [PubMed] [Google Scholar]
- Bouanchaud D. H., Scavizzi M. R., Chabbert Y. A. Elimination by ethidium bromide of antibiotic resistance in enterobacteria and staphylococci. J Gen Microbiol. 1968 Dec;54(3):417–425. doi: 10.1099/00221287-54-3-417. [DOI] [PubMed] [Google Scholar]
- Chabbert Y. A., Derlot E., Courvalin P. Etude du Centre National de Référence des Antibiotiques sur l'inoculum de l'antibiogramme. Pathol Biol (Paris) 1986 May;34(5):317–319. [PubMed] [Google Scholar]
- Hart C. A., Percival A. Resistance to cephalosporins among gentamicin-resistant klebsiellae. J Antimicrob Chemother. 1982 Apr;9(4):275–286. doi: 10.1093/jac/9.4.275. [DOI] [PubMed] [Google Scholar]
- Jackson R. T., Harris L. F., Alford R. H. Sodium clavulanate potentiation of cephalosporin activity against clinical isolates of cephalothin-resistant Klebsiella pneumoniae. Antimicrob Agents Chemother. 1978 Jul;14(1):118–125. doi: 10.1128/aac.14.1.118. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kado C. I., Liu S. T. Rapid procedure for detection and isolation of large and small plasmids. J Bacteriol. 1981 Mar;145(3):1365–1373. doi: 10.1128/jb.145.3.1365-1373.1981. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kliebe C., Nies B. A., Meyer J. F., Tolxdorff-Neutzling R. M., Wiedemann B. Evolution of plasmid-coded resistance to broad-spectrum cephalosporins. Antimicrob Agents Chemother. 1985 Aug;28(2):302–307. doi: 10.1128/aac.28.2.302. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Knothe H., Shah P., Krcmery V., Antal M., Mitsuhashi S. Transferable resistance to cefotaxime, cefoxitin, cefamandole and cefuroxime in clinical isolates of Klebsiella pneumoniae and Serratia marcescens. Infection. 1983 Nov-Dec;11(6):315–317. doi: 10.1007/BF01641355. [DOI] [PubMed] [Google Scholar]
- Korfmann G., Kliebe C., Wiedemann B. Beta-lactam antibiotics and selection of resistance: speculation on the evolution of R-plasmids. J Antimicrob Chemother. 1986 Oct;18 (Suppl 100):113–121. doi: 10.1093/jac/18.supplement_c.113. [DOI] [PubMed] [Google Scholar]
- Labia R., Andrillon J., Le Goffic F. Computerized microacidimetric determination of beta lactamase Michaelis-Menten constants. FEBS Lett. 1973 Jun 15;33(1):42–44. doi: 10.1016/0014-5793(73)80154-1. [DOI] [PubMed] [Google Scholar]
- Labia R. Comportement enzyme-substrat. Introduction de la notion de stabilité enzymatique dans le cas des beta lactamases. C R Acad Sci Hebd Seances Acad Sci D. 1974 Jul 1;279(1):109–112. [PubMed] [Google Scholar]
- Labia R., Fabre C., Masson J. M., Barthelemy M., Heitz M., Pitton J. S. Klebsiella pneumonia strains moderately resistant to ampicillin and carbenicillin: characterization of a new beta-lactamase. J Antimicrob Chemother. 1979 Jul;5(4):375–382. doi: 10.1093/jac/5.4.375. [DOI] [PubMed] [Google Scholar]
- Labia R., Morand A., Guionie M., Heitz M., Pitton J. S. Bêtalactamases de Klebsiella oxytoca: étude de leur action sur les céphalosporines de troisième génération. Pathol Biol (Paris) 1986 Jun;34(5 Pt 2):611–615. [PubMed] [Google Scholar]
- Lesage D. D., Gerbaud G. R., Chabbert Y. A. Carte génétique et strucutre chez Escherichia coli K12 d'un plasmide de résistance isolé de Salmonella ordonez. Ann Microbiol (Paris) 1975 May-Jun;126A(4):435–448. [PubMed] [Google Scholar]
- Maniatis T., Jeffrey A., Kleid D. G. Nucleotide sequence of the rightward operator of phage lambda. Proc Natl Acad Sci U S A. 1975 Mar;72(3):1184–1188. doi: 10.1073/pnas.72.3.1184. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sawai T., Yamagishi S., Mitsuhashi S. Penicillinases of Klebsiella pneumoniae and their phylogenetic relationship to penicillinases mediated by R factors. J Bacteriol. 1973 Sep;115(3):1045–1054. doi: 10.1128/jb.115.3.1045-1054.1973. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shah P. M., Stille W. Escherichia coli and Klebsiella pneumoniae strains more susceptible to cefoxitin than to third generation cephalosporins. J Antimicrob Chemother. 1983 Jun;11(6):597–598. doi: 10.1093/jac/11.6.597. [DOI] [PubMed] [Google Scholar]
- Sirot D., Sirot J., Labia R., Morand A., Courvalin P., Darfeuille-Michaud A., Perroux R., Cluzel R. Transferable resistance to third-generation cephalosporins in clinical isolates of Klebsiella pneumoniae: identification of CTX-1, a novel beta-lactamase. J Antimicrob Chemother. 1987 Sep;20(3):323–334. doi: 10.1093/jac/20.3.323. [DOI] [PubMed] [Google Scholar]
- Sirot D., Sirot J., Saulnier P., Joly B., Chanal M., Cluzel M., Cluzel R. Resistance to beta-lactams in Enterobacteriaceae: distribution of phenotypes related to beta-lactamase production. J Int Med Res. 1986;14(4):193–199. doi: 10.1177/030006058601400405. [DOI] [PubMed] [Google Scholar]
- Sirot J., Labia R., Thabaut A. Klebsiella pneumoniae strains more resistant to ceftazidime than to other third-generation cephalosporins. J Antimicrob Chemother. 1987 Oct;20(4):611–612. doi: 10.1093/jac/20.4.611. [DOI] [PubMed] [Google Scholar]
- Southern E. M. Detection of specific sequences among DNA fragments separated by gel electrophoresis. J Mol Biol. 1975 Nov 5;98(3):503–517. doi: 10.1016/s0022-2836(75)80083-0. [DOI] [PubMed] [Google Scholar]
- Sykes R. B., Matthew M. The beta-lactamases of gram-negative bacteria and their role in resistance to beta-lactam antibiotics. J Antimicrob Chemother. 1976 Jun;2(2):115–157. doi: 10.1093/jac/2.2.115. [DOI] [PubMed] [Google Scholar]



