title: A novel type of AmpC beta-lactamase, ACC-1, produced by a Klebsiella pneumoniae strain causing nosocomial pneumonia.
abstract: A Klebsiella pneumoniae strain resistant to oxyimino cephalosporins was cultured from respiratory secretions of a patient suffering from nosocomial pneumonia in Kiel, Germany, in 1997. The isolate harbors a bla resistance gene located on a transmissible plasmid. An Escherichia coli transconjugant produces a beta-lactamase with an isoelectric point of 7.7 and a resistance phenotype characteristic of an AmpC (class 1) beta-lactamase except for low MICs of cephamycins. The bla gene was cloned and sequenced. It encodes a protein of 386 amino acids with the active site serine of the S-X-X-K motif at position 64, as is characteristic for class C beta-lactamases. Multiple alignment of the deduced amino acid sequence with 21 other AmpC beta-lactamases demonstrates only very distant homology, reaching at maximum 52.3% identity for the chromosomal AmpC beta-lactamase of Serratia marcescens SR50. The beta-lactamase of K. pneumoniae KUS represents a new type of AmpC-class enzyme, for which we propose the designation ACC-1 (Ambler class C-1).
authors.affiliation: Max von Pettenkofer Institute, Munich, Federal Republic of Germany. Adolf.Bauernfeind@mvp-bak.med.uni-muenchen.de
authors.forename: A
authors.initials: A
authors.lastname: Bauernfeind
authors.forename: I
authors.initials: I
authors.lastname: Schneider
authors.forename: R
authors.initials: R
authors.lastname: Jungwirth
authors.forename: H
authors.initials: H
authors.lastname: Sahly
authors.forename: U
authors.initials: U
authors.lastname: Ullmann
mesh_terms: D000328:Adult; D000595:Amino Acid Sequence; D001426:Bacterial Proteins; D001483:Base Sequence; D003001:Cloning, Molecular; D003428:Cross Infection / Q000382:microbiology*; D006801:Humans; D007525:Isoelectric Focusing; D007700:Kinetics; D007710:Klebsiella Infections / Q000382:microbiology*; D007711:Klebsiella pneumoniae / Q000201:enzymology* / Q000302:isolation & purification; D008297:Male; D008826:Microbial Sensitivity Tests; D008969:Molecular Sequence Data; D010641:Phenotype; D018410:Pneumonia, Bacterial / Q000382:microbiology*; D017386:Sequence Homology, Amino Acid; D001618:beta-Lactamases / Q000096:biosynthesis* / Q000737:chemistry / Q000235:genetics* / Q000378:metabolism
chemical_list: D001426:Bacterial Proteins; C048795:AmpC beta-lactamases; D001618:beta-Lactamases