Affiliation:
1. Unité des Agents Antibactériens, Institut Pasteur, 75724 Paris Cedex 15
2. Centre d'Etude Pharmaceutiques, Châtenay-Malabry, France
Abstract
ABSTRACT
The resistance of
Klebsiella pneumoniae
BM4493, isolated in Ho Chi Minh City, Vietnam, to cefotaxime and aztreonam was due to production of a novel β-lactamase, CTX-M-17. The
bla
CTX-M-17
gene was borne by 7,086-bp plasmid pIP843, which was entirely sequenced and which was found to belong to the ColE1 family. The 876-bp
bla
CTX-M-17
gene differed from
bla
CTX-M-14
by 2 nucleotides, which led to the single amino acid substitution Glu289→Lys.
bla
CTX-M-17
was flanked upstream by an IS
Ecp1
-like element and downstream by an insertion sequence (IS) IS
903
variant designated IS
903
-C. The transcriptional start site of
bla
CTX-M-17
was located 109 nucleotides upstream from the initiation codon in the IS
Ecp1-
like element, which also provided the promoter sequences. Plasmid pIP843, which was non-self-transferable and nonmobilizable, contained five open reading frames transcribed in the same orientation. Regions homologous to sequences coding for putative RNA II and RNA I transcripts, a
rom
gene, which is involved in initiation of replication, and a
cer
-like gene, which is responsible for the stability of ColE1-like plasmids, were identified. Consensus sequences for putative replication (
oriV
) and transfer (
oriT
) origins were present. Results of primer extension experiments indicated that IS
Ecp1
provides the promoter for expression of
bla
CTX-M-17
and may contribute to dissemination of this gene.
Publisher
American Society for Microbiology
Subject
Infectious Diseases,Pharmacology (medical),Pharmacology
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