Mutational replacement of Leu-293 in the class C Enterobacter cloacae P99 beta-lactamase confers increased MIC of cefepime

Antimicrob Agents Chemother. 2002 Jun;46(6):1966-70. doi: 10.1128/AAC.46.6.1966-1970.2002.

Abstract

The class C beta-lactamase from Enterobacter cloacae P99 confers resistance to a wide range of broad-spectrum beta-lactams but not to the newer cephalosporin cefepime. Using PCR mutagenesis of the E. cloacae P99 ampC gene, we obtained a Leu-293-Pro mutant of the P99 beta-lactamase conferring a higher MIC of cefepime (MIC, 8 microg/ml, compared with 0.5 microg/ml conferred by the wild-type enzyme). In addition, the mutant enzyme produced higher resistance to ceftazidime but not to the other beta-lactams tested. Mutants with 15 other replacements of Leu-293 were prepared by site-directed random mutagenesis. None of these mutant enzymes conferred MICs of cefepime higher than that conferred by Leu-293-Pro. We determined the kinetic parameters of the purified E. cloacae P99 beta-lactamase and the Leu-293-Pro mutant enzyme. The catalytic efficiencies (k(cat)/K(m)) of the Leu-293-Pro mutant beta-lactamase for cefepime and ceftazidime were increased relative to the respective catalytic efficiencies of the wild-type P99 beta-lactamase. These differences likely contribute to the higher MICs of cefepime and ceftazidime conferred by this mutant beta-lactamase.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cefepime
  • Cephalosporin Resistance
  • Cephalosporins / pharmacology*
  • Cloning, Molecular
  • Enterobacter cloacae / drug effects*
  • Enterobacter cloacae / enzymology
  • Enterobacter cloacae / genetics*
  • Kinetics
  • Leucine / genetics*
  • Microbial Sensitivity Tests
  • Models, Molecular
  • Molecular Conformation
  • Mutagenesis, Site-Directed
  • Mutation / genetics
  • Plasmids / genetics
  • beta-Lactamases / genetics*
  • beta-Lactamases / metabolism

Substances

  • Cephalosporins
  • Cefepime
  • beta-Lactamases
  • Leucine