VIM-19, a Metallo-β-Lactamase with Increased Carbapenemase Activity from Escherichia coli and Klebsiella pneumoniae

Author:

Rodriguez-Martinez Jose-Manuel1,Nordmann Patrice1,Fortineau Nicolas1,Poirel Laurent1

Affiliation:

1. Service de Bactériologie-Virologie, INSERM U914 “Emerging Resistance to Antibiotics,” Assistance Publique/Hôpitaux de Paris, Faculté de Médecine and Université Paris-Sud, Hôpital de Bicêtre, 94275 Le Kremlin-Bicêtre, France

Abstract

ABSTRACT Two carbapenem-resistant isolates, one Escherichia coli isolate and one Klebsiella pneumoniae isolate, recovered from an Algerian patient expressed a novel VIM-type metallo-β-lactamase (MBL). The identified bla VIM-19 gene was located on a ca. 160-kb plasmid and located inside a class 1 integron in both isolates. VIM-19 differed from VIM-1 by the Asn215Lys and Ser228Arg substitutions, increasing its hydrolytic activity toward carbapenems. Site-directed mutagenesis experiments showed that both substitutions were necessary for the increased carbapenemase activity of VIM-19. This study indicates that MBLs with enhanced activity toward carbapenems may be obtained as a result of very few amino acid substitutions.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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