Plasmid-mediated beta-lactamase (TEM-7) involved in resistance to ceftazidime and aztreonam

Rev Infect Dis. 1988 Jul-Aug;10(4):860-6. doi: 10.1093/clinids/10.4.860.

Abstract

TEM-7, a novel TEM-type beta-lactamase (pI 5.41) encoded on a plasmid of approximately 85 kilobases, was found in a clinical isolate of Citrobacter freundii. Strains containing this enzyme exhibited decreased susceptibility to ceftazidime (64-fold) and aztreonam (16-fold) but not to other third-generation cephalosporins. Addition of a beta-lactamase inhibitor--clavulanic acid, sulbactam, or YTR 830--restored normal susceptibility to associated compounds such as ampicillin, piperacillin, ceftazidime, and aztreonam. DNA-DNA hybridization of an intragenic probe of TEM-1 occurred with a 19-kilobase EcoRI fragment of the plasmid encoding TEM-7. A TEM-2 derivative, TEM-201, with characteristics similar to those of TEM-7 was selected spontaneously in the presence of ceftazidime in vitro.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aztreonam / metabolism
  • Aztreonam / pharmacology*
  • Ceftazidime / metabolism
  • Ceftazidime / pharmacology*
  • Citrobacter / drug effects
  • Citrobacter / enzymology*
  • Citrobacter / genetics
  • Drug Resistance, Microbial / genetics
  • Humans
  • Hydrolysis
  • Kinetics
  • Plasmids*
  • beta-Lactamases / genetics*
  • beta-Lactamases / metabolism

Substances

  • Ceftazidime
  • beta-Lactamases
  • beta-lactamase TEM-1
  • Aztreonam