Affiliation:
1. Service de Bactériologie-Virologie, Hôpital de Bicêtre, Assistance Publique/Hôpitaux de Paris, Faculté de Médecine Paris-Sud, 94275 Le Kremlin-Bicêtre, France
Abstract
ABSTRACT
Klebsiella pneumoniae
ORI-1 was isolated in 1998 in France from a rectal swab of a 1-month-old girl who was previously hospitalized in Cayenne Hospital, Cayenne, French Guiana. This strain harbored a ca. 140-kb nontransferable plasmid, pTK1, that conferred an extended-spectrum cephalosporin resistance profile antagonized by the addition of clavulanic acid, tazobactam, or imipenem. The gene for GES-1 (Guiana extended-spectrum β-lactamase) was cloned, and its protein was expressed in
Escherichia coli
DH10B, where this pI-5.8 β-lactamase of a ca. 31-kDa molecular mass conferred resistance to oxyimino cephalosporins (mostly to ceftazidime). GES-1 is weakly related to the other plasmid-located Ambler class A extended-spectrum β-lactamases (ESBLs). The highest percentage of amino acid identity was obtained with the carbenicillinase GN79 from
Proteus mirabilis
; with YENT, a chromosome-borne penicillinase from
Yersinia enterocolitica
; and with L-2, a chromosome-borne class A cephalosporinase from
Stenotrophomonas maltophilia
(36% amino acid identity each). However, a dendrogram analysis showed that GES-1 clustered within a class A ESBL subgroup together with ESBLs VEB-1 and PER-1. Sequencing of a 7,098-bp DNA fragment from plasmid pTK1 revealed that the GES-1 gene was located on a novel class 1 integron named In52 that was characterized by (i) a 5′ conserved segment containing an
intI1
gene possessing two putative promoters, P
1
and P
2
, for coordinated expression of the downstream antibiotic resistance genes and an
attI1
recombination site; (ii) five antibiotic gene cassettes,
bla
GES-1
,
aac(6′)Ib
′ (gentamicin resistance and amikacin susceptibility),
dfrXVb
(trimethoprim resistance), a novel chloramphenicol resistance gene (
cmlA4
), and
aadA2
(streptomycin-spectinomycin resistance); and (iii) a 3′ conserved segment consisting of
qacEΔ1
and
sulI
. The
bla
GES-1
and
aadA2
gene cassettes were peculiar, since they lacked a typical 59-base element. This work identified the second class A ESBL gene of a non-TEM, non-SHV series which was located in the plasmid and integron, thus providing it additional means for its spread and its expression.
Publisher
American Society for Microbiology
Subject
Infectious Diseases,Pharmacology (medical),Pharmacology
Cited by
366 articles.
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