Affiliation:
1. Unité des Agents Antibactériens, Institut Pasteur, 75724 Paris Cedex 15
2. Hôpital Saint-Antoine, 184, Rue Fbg. St. Antoine, 75012 Paris, France
3. Department of Bacteriology, National Institute of Public Health, P.O. Box 4404, NO-0403 Oslo, Norway
Abstract
ABSTRACT
Carnobacterium divergens
clinical isolates BM4489 and BM4490 were resistant to penicillins but remained susceptible to combinations of amoxicillin-clavulanic acid and piperacillin-tazobactam. Cloning and sequencing of the responsible determinant from BM4489 revealed a coding sequence of 912 bp encoding a class A β-lactamase named CAD-1. The
bla
CAD-1
gene was assigned to a chromosomal location in the two strains that had distinct pulsed-field gel electrophoresis patterns. CAD-1 shared 53% and 42% identity with β-lactamases from
Bacillus cereus
and
Staphylococcus aureus
, respectively. Alignment of CAD-1 with other class A β-lactamases indicated the presence of 25 out of the 26 isofunctional amino acids in class A β-lactamases.
Escherichia coli
harboring
bla
CAD-1
exhibited resistance to penams (benzylpenicillin and amoxicillin) and remained susceptible to amoxicillin in combination with clavulanic acid. Mature CAD-1 consisted of a 34.4-kDa polypeptide. Kinetic analysis indicated that CAD-1 exhibited a narrow substrate profile, hydrolyzing benzylpenicillin, ampicillin, and piperacillin with catalytic efficiencies of 6,600, 3,200, and 2,900 mM
−1
s
−1
, respectively. The enzyme did not interact with oxyiminocephalosporins, imipenem, or aztreonam. CAD-1 was inhibited by tazobactam (50% inhibitory concentration [IC
50
] = 0.27 μM), clavulanic acid (IC
50
= 4.7 μM), and sulbactam (IC
50
= 43.5 μM). The
bla
CAD-1
gene is likely to have been acquired by BM4489 and BM4490 as part of a mobile genetic element, since it was not found in the susceptible type strain CIP 101029 and was adjacent to a gene for a resolvase.
Publisher
American Society for Microbiology
Subject
Infectious Diseases,Pharmacology (medical),Pharmacology