Filling knowledge gaps related to AmpC-dependent β-lactam resistance in Enterobacter cloacae

Sci Rep. 2024 Jan 2;14(1):189. doi: 10.1038/s41598-023-50685-1.

Abstract

Enterobacter cloacae starred different pioneer studies that enabled the development of a widely accepted model for the peptidoglycan metabolism-linked regulation of intrinsic class C cephalosporinases, highly conserved in different Gram-negatives. However, some mechanistic and fitness/virulence-related aspects of E. cloacae choromosomal AmpC-dependent resistance are not completely understood. The present study including knockout mutants, β-lactamase cloning, gene expression analysis, characterization of resistance phenotypes, and the Galleria mellonella infection model fills these gaps demonstrating that: (i) AmpC enzyme does not show any collateral activity impacting fitness/virulence; (ii) AmpC hyperproduction mediated by ampD inactivation does not entail any biological cost; (iii) alteration of peptidoglycan recycling alone or combined with AmpC hyperproduction causes no attenuation of E. cloacae virulence in contrast to other species; (iv) derepression of E. cloacae AmpC does not follow a stepwise dynamics linked to the sequential inactivation of AmpD amidase homologues as happens in Pseudomonas aeruginosa; (v) the enigmatic additional putative AmpC-type β-lactamase generally present in E. cloacae does not contribute to the classical cephalosporinase hyperproduction-based resistance, having a negligible impact on phenotypes even when hyperproduced from multicopy vector. This study reveals interesting particularities in the chromosomal AmpC-related behavior of E. cloacae that complete the knowledge on this top resistance mechanism.

MeSH terms

  • Bacterial Proteins / metabolism
  • Cephalosporinase / genetics
  • Enterobacter cloacae*
  • Microbial Sensitivity Tests
  • Peptidoglycan*
  • beta-Lactam Resistance / genetics
  • beta-Lactamases / metabolism

Substances

  • Peptidoglycan
  • beta-Lactamases
  • Bacterial Proteins
  • Cephalosporinase