Beta-lactamase-mediated imipenem resistance in Bacteroides fragilis

Antimicrob Agents Chemother. 1986 Nov;30(5):645-8. doi: 10.1128/AAC.30.5.645.

Abstract

Imipenem has excellent antimicrobial activity owing in part to beta-lactamase stability. We found that only 2 of over 350 Bacteroides fragilis group clinical isolates were resistant to imipenem, with an MIC of more than 16 micrograms/ml. These two isolates from the Tufts Anaerobe Laboratory (TAL) were resistant to all other beta-lactam agents tested. The organisms were able to inactivate imipenem in broth cultures and contained similar beta-lactamases that were able to hydrolyze carbapenems, cephamycins, cephalosporins, and penicillins. The molecular sizes of the beta-lactamases in TAL2480 and TAL3636 were estimated to be 44,000 daltons. The novel beta-lactamase contained Zn2+ as a cofactor. An additional factor contributing to resistance was determined. The outer membranes of these two organisms were found to limit free diffusion of the drugs into the periplasm. This novel beta-lactamase, associated with a barrier to drug permeation, resulted in high-grade beta-lactam drug resistance.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Bacteroides fragilis / drug effects*
  • Bacteroides fragilis / enzymology
  • Drug Resistance, Microbial
  • Imipenem
  • Microbial Sensitivity Tests
  • Thienamycins / pharmacology*
  • beta-Lactamase Inhibitors
  • beta-Lactamases / analysis*
  • beta-Lactamases / isolation & purification

Substances

  • Thienamycins
  • beta-Lactamase Inhibitors
  • Imipenem
  • beta-Lactamases