Class D β-lactamases: are they all carbapenemases?

NT Antunes, TL Lamoureaux, M Toth… - Antimicrobial agents …, 2014 - Am Soc Microbiol
NT Antunes, TL Lamoureaux, M Toth, NK Stewart, H Frase, SB Vakulenko
Antimicrobial agents and chemotherapy, 2014Am Soc Microbiol
Carbapenem-hydrolyzing class D β-lactamases (CHDLs) are enzymes of the utmost clinical
importance due to their ability to produce resistance to carbapenems, the antibiotics of last
resort for the treatment of various life-threatening infections. The vast majority of these
enzymes have been identified in Acinetobacter spp., notably in Acinetobacter baumannii.
The OXA-2 and OXA-10 enzymes predominantly occur in Pseudomonas aeruginosa and
are currently classified as narrow-spectrum class D β-lactamases. Here we demonstrate that …
Abstract
Carbapenem-hydrolyzing class D β-lactamases (CHDLs) are enzymes of the utmost clinical importance due to their ability to produce resistance to carbapenems, the antibiotics of last resort for the treatment of various life-threatening infections. The vast majority of these enzymes have been identified in Acinetobacter spp., notably in Acinetobacter baumannii. The OXA-2 and OXA-10 enzymes predominantly occur in Pseudomonas aeruginosa and are currently classified as narrow-spectrum class D β-lactamases. Here we demonstrate that when OXA-2 and OXA-10 are expressed in Escherichia coli strain JM83, they produce a narrow-spectrum antibiotic resistance pattern. When the enzymes are expressed in A. baumannii ATCC 17978, however, they behave as extended-spectrum β-lactamases and confer resistance to carbapenem antibiotics. Kinetic studies of OXA-2 and OXA-10 with four carbapenems have demonstrated that their catalytic efficiencies with these antibiotics are in the same range as those of some recognized class D carbapenemases. These results are in disagreement with the classification of the OXA-2 and OXA-10 enzymes as narrow-spectrum β-lactamases, and they suggest that other class D enzymes that are currently regarded as noncarbapenemases may in fact be CHDLs.
American Society for Microbiology
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